6 Multiple choice questions Q1 Pregnancy is absolutely contraindicated in the following congenital diagnosis, in a patient who feels otherwise clinically well: 1. Exertional dyspnea; Distended neck veins It estimated an incidence of 0.7 cases of acute MI per 100,000 pregnancies [2]. 71. b) In women with mitral stenosis, the most common cardiac complications during pregnancy are atrial arrhythmias (i.e. Your healthcare provider will tailor a treatment plan to your needs. be premedicated with psychosedation. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE, WEAK ERECTION. Looking for top Gynaecology doctors in India? b) 20-24 weeks. CARDIAC DISEASE IN PREGNANCY DR SHAMSA TARIQ ASSISTANT PROFESSOR GYNE /OBST UNIT II HOLY FAMILY HOSPITAL 2. Effects of pregnancy on rheumatic heart disease. Complex heart disease is no bar to sexual activity. This is a quiz that contains NCLEX questions for coronary artery disease. These factors increase the incidence of cardiac disease complicating pregnancy. Table of Contents: Abbreviations ix 1 Arrhythmias. d) Cardiomegaly. a. DM b. Hypertension 4. 4 Birth rate is defined as the number of births per : A 10,000 women per year. Differential diagnoses of an enlarged heart shadow observed on a chest X-ray include. Pregnancy is a major life event for almost every woman. Risk to the mother with heart disease appears to be determined primarily by the ability of their cardio- E. Decreased reticulocytosis Oxytocin increases systemic vascular resistance. Which of the following statements is/are true: a) research to define pattern and level of optimal weight gain is ongoing. TRUE C. TRUE D. TRUE E. TRUE. In which of the following disorders would the nurse expect to assess sacral eddema in bedridden client? Medical Management of Heart Disease During Pregnancy Medical Management of Heart Disease During Pregnancy. Learn more: Mayo Clinic facts about coronavirus disease 2019 (COVID-19) Our COVID-19 patient and visitor guidelines, plus trusted health information Latest on COVID-19 vaccination by site: Arizona patient vaccination updates Arizona, Florida patient vaccination updates Florida, Rochester patient vaccination updates Rochester and … mcq cardiovascular system pathology with answers and numerous ebook collections from fictions to ... What is the best prognostic indicator for pregnancy in a patient in the ... heart disease can lead to scarring with some calcium deposition, but the valve leaflets undergo Hypertension ... Pregnancy is not a risk factor 4. The Cardiac Disease in Pregnancy (CARPREG) risk score was derived from a prospective multicenter study of pregnant women with congenital and acquired heart disease. This risk score stratifies women based on four predictors, one of which includes left-sided heart obstruction. TGA with systemic right ventricle with mild dysfunction Is 20-30% bound to albumin. CVS Resource: Calgary Guides Ischaemic heart disease. 11. Which of the following is the least likely physiological change in pregnancy. d) Increase in peripheral vascular resistance. MCQ.30 Which one of the following is best example of psychosocial stress: a) Noise b) Economic viability c) Hunger d) Disease e) Temperature Key: b TOS: C 2 MCQ.31 People with Type A personality are more vulnerable to: a) Psychiatric disorders. b) This woman must discontinue her enalapril and restart methyldopa to decrease her risk of developing pre-eclampsia. B Maternal disease. a. Crackles b. Arrhythmias c. Hepatic engorgement d. Hypotension 32. Heart, restrictive cardiomyopathy from amyloidosis, microscopic Myocardium, amyloidosis, apple-green birefringence with polarized light, Congo red stain, microscopic Heart, hypertension with left ventricular hypertrophy, gross Causes: Congenital heart disease (CHD) can describe a number of different problems affecting the heart. 1. It is usually recommended to use a tissue heart valve in ladies in child bearing age, requiring a heart valve replacement, to avoid the complications of anticoagulation during pregnancy. c) Increase in stroke volume. In pregnant women with cardiac disease: Chest x-ray is contraindicated. Obstetrics & Gynaecology – MCQ 27 – Heart disease in pregnancy Most common heart disease which is associated with maximum mortality during pregnancy a) Eisenmenger syndrome Questions Answers. Question 3. Though a woman with severe pulmonic stenosis may be asymptomatic, the increased haemodynamic load of pregnancy may precipitate right heart failure or atrial arrhythmias; such a patient should be considered for correction before pregnancy. Even during pregnancy, balloon valvuloplasty may be feasible if symptoms of pulmonary stenosis progress. Diuretics a. Cyanotic disease 2. O&G - Anaemia. Try this amazing The Heart Practice MCQ's - The Cardiovascular System (I): The Heart quiz which has been attempted 6516 times by avid quiz … Enlargement of the cardiac silhouette on a frontal chest x-ray can be due to several causes. Suspected non-cardiac defect in baby with potential related cardiac disease 7. Furthermore, women are increasingly postponing pregnancy until the fourth decade of life. Coronary heart disease. A-A. Lowered Hemoglobin during normal pregnancy is a physiological finding. –The first heart sound is normal but in severe cases, it may be absent. 1. Schedule your appointment now for safe in-person care. Previous child with heart disease 2. It's mainly due to: A. low iron stores in all women. Most commonly affects adults between ages of 30-50. This can lead to restriction of blood flow to the heart. CVS lesson 3 - Acute coronary syndrome. 3.6.2 Antepartum Because there are so many types of cardiac disease, often with very different implications, it is important that a risk assessment of any woman with a heart murmur or a history of any cardiac defect should be carried out Suspected heart defect in the baby/abnormal OB ultrasound 6. Heart disease and stroke were the causes of 50% of deaths in the U.S. by 1950. An online resource for mcqs on Internal medicine and subspecialities.An educational initiative of drjitheshkmd.com Monday, April 24, 2006 Cardiology: Valvular heart diseases b. In a study of 500 cases of a disease and 500 controls, the suspected etiological factor is found in 400 of the cases and 100 of the controls. Pregnancy in most women with heart disease has a favourable maternal and fetal outcome. Oxytocin is known to cause: Tachycardia. A-C. 3 The most common cause of neonatal morbidity and mortality is : A Toxaemia. C. Anaemia is diagnosed when the haemoglobin is less than 11 g/dL. Discussions on future pregnancies and their prevention should begin in adolescence, both to prevent accidental and possibly dangerous pregnancies and to allow patients to come to … Red blood cells in the pregnant patient have the same haemoglobin concentration as in the non-pregnant patient. Heart disease in pregnancy is very rare but potentially serious and complicates approximately 1% of all pregnancies. 28) A primigravidae with 8 wks pregnancy, her dating scan showed intrauterine embryo of CRL of 7mm with no heart activity and with mean sac diameter of 18mm. Endocarditis accounts for 10% of cardiac deaths. d) At delivery. 2010 Sep;31(17):2124-32. b) both inadequate and excessive weight gain are associated with poorer maternal and infant health outcomes. … Gum disease can cause tooth loss because its symptoms are often painless and go unnoticed. Relationship between arterial blood pressure (BP), cardiac outpur (CO) and peripheral vascular resistance (PVR) can be described as (A) BP = COxPVR (B) BP = CO/PVR (C) BP = PVR/CO (D) None of the above 2. CAD develops when the coronary arteries that deliver a constant supply of blood to the heart muscle start to develop fatty plaques known as atherosclerosis. Background: Thyroid disease in pregnancy is a common clinical problem. Multiple choice questions and answers on hormones and endocrine glands MCQ questions PDF covers topics: Glycogen, hormones, and endocrine glands thyroxin function. It can be taken with or without food. A "tet spell" or "blue" spell of tetralogy of Fallot is treated with all of the following except: oxygen. Maternal history of diabetes 8. loud murmur. with care in mothers with cardiac disease Background The incidence of cardiac disease in pregnancy is increasing in the developed world. This blog 50 Cardiology Pimp Questions offers cardiology students an inside look at the top questions randomly asked during rounds, categorized by General, Physical Exam and ECG. Silversides CK, Grewal J, Mason J, Sermer M, Kiess M, Rychel V, Wald RM, Colman JM, Siu SC. A male patient, on amiodarone 200 mg daily, who is post myocardial infarct and has VT resistant to sotalol. E. there is a 25% risk for a similarly affected child in the next pregnancy Answer E Juvenile-onset medullary cystic disease, which also is referred to as nephrophthisis, is inherited as an autosomal recessive trait. D. Increased cardiac output resulting in greater red cell destruction. Fluid retention. hemodynamic disorder is discussed cardiovascular disease hemodynamic disorders hypertensive heart disease is discussed in the section acquired heart disease, mcq hemodynamics aj 07 1 the characteristic that differentiate the clot from the thrombous is a a thrombous is attached to the wall and have layers of fibrin b J Am Coll Cardiol 2019;73:457-476. Use of Medication for Cardiovascular Disease During Pregnancy: JACC State-of-the-Art Review. Is more likely to occur in the abdominal aorta than the thoracic aorta. e. Desflurane is extensively metabolised via the liver. MCQs : Thyroid By Wasim R. Issa 1:56 ... 30- in pregnancy ? a) Increase in intravascular volume. 2 These patients are at higher risk of mortality as well as increased morbidity and thus need special care during the period of pregnancy. Tuberculosis, Diabetes Mellitus and Rheumatic Heart Diseases in relation to Pregnancy, Hyper emesis Gravidarum, Stages of labour, Retained Placenta, Ruptured Uterus, Foetal Disteress, Maternal Disteress, Prolonged Labour, Obstructed Labour D. Severe anaemia renders the patient more susceptible to puerperal infection. d. Halothane has a MAC of 0.75% - making it less potent than desflurane. He has joints contractures. Medical Management of Heart Disease During Pregnancy Medical Management of Heart Disease During Pregnancy. b) Have the same incidence of heart disease as general population. 80% b. 1. B Syphilis. TRUE B. Disease progression is usually around 0.1–0.3 cm 2 yr −1, 2 but this is greatly increased in cases of repeated valve inflammation such as may occur with recurrent bouts of rheumatic fever. For women with rheumatic heart disease this increased pressure presents increased maternal and/or foetal risks. Suspected heart rhythm problem in the baby 4. Learn vocabulary, terms, and more with flashcards, games, and other study tools. O&G - Gestational diabetes. The absolute risk (incidence) of disease in persons with the factor is: a. Dr.Niraj Mahajan,the best gynecologist in mumbai offers Laparoscopic and Tubal surgery at affordable cost Cardiac disease in pregnancy 1. Hypotension. Hypertrophic cardiomyopathy 3. Questions Answers. The foetus of the mother with congenital heart disease (CHD) has an increased risk of CHD. Early detection and adequate treatment at the right time can reduce deaths due to malaria. Your healthcare provider will tailor a treatment plan to your needs. Illness in pregnancy predicts post-partum psychosis – T, So does being a primi, single, abnormal birth (LSCS, foetal distress), abnormal offspring, F/Hx, child being female; Risk of psychosis in the pregnant population is 0.1-0.2%(1-2 /1000 pregnant mothers) – T PG NEET OBG MCQs 72 – Cardiac Disease Complicating Pregnancy – 1. c. Nitrous oxide is a useful adjunct to volatile anaesthetic use in women in the first trimester of pregnancy. Reduction cholesterol intake is one measure used to reduce Blood Cholesterol levels. Eur Heart J. ischaemic heart disease. 5. . During any pregnancy there is an increase in blood volume of 30% - 50% resulting in increased pressure on the heart valves. If abnormal liver function or thrombocytope- nia are present, this points towards pre-eclampsia more than renal disease. Ask the patient to refrain from speaking while the heart sounds are being assessed. Hypertension C. Congestive Cardiac failure D. Congenital heart disease # After multiple tooth extraction, suture is placed at: A. Interdental septum B. Pulmonary hypertension. b) Increase in cardiac output. 4.2 Pulmonary hypertension and Eisenmenger’s syndrome. This is one reason why rheumatic heart disease follows a more indolent course when contracted in developed countries where the disease is less common. c- heart disease that occurs 2 - 4 weeks after group A streptococcus pharyngitis. IMGSOS AMC CAT (MCQ) 12 week course This course is designed to direct your study and give you a clear "road map" to cover all the content required for the AMC exam. 2.Haemodynamic changes regress to normal after __________ weeks of delivery: a) 1-2. b) 2-4. What is the best prognostic indicator for pregnancy in a patient in the first trimester with mitral stenosis? 4 Heart failure Questions Answers. 1.Cardiac output and blood volume is maximum during ___________ weeks of pregnancy: a) 12-14 weeks. O&G - Bleeding. 2 Ischaemic heart disease. Cardiovascular diseases complicate approximately 0.2–4.0% of pregnancies. 10 >>A 36-year-old patient with repaired ToF wishes to become pregnant and asks you about the likelihood of her child being born with a congenital heart defect. Cardiac auscultation Approach [1] The patient should be in a supine position with the torso elevated to 45°. a- thiouracil is contraindicated b- surgery is contraindicated c- radioiodine is contraindicated ... MENINGITIS,HEPATITIS A AND B, THYROID, ASTHMA, HEART DISEASE, CHRONIC DISEASE. Pediatric Rheumatology Multiple Choice Questions (MCQs) Read the following statement and answer Q 1‐2 A 12 year old boy presented with multiple firm, painless swellings on the back and lower extremities. 6. … Obstetrics & Gynaecology – MCQ 26 – Physiological changes in pregnancy. The Heart Practice MCQ's - The Cardiovascular System (i): The Heart. A newborn infant presents with cyanotic heart disease and fails to thrive. On examination of the heart, it was revealed that the aorta arose from the right ventricle and the pulmonary trunk arose from the left ventricle. 2015 AHA/ADA Update on Prevention of Cardiovascular Disease in Adults With Type 2 Diabetes in Light of Recent Evidence 2013 ESC Guidelines on Diabetes, Pre-diabetes and Cardiovascular Diseases mcq on cardiovascular function system for medical and staff nure 1. b) Cardiomyopathy. This Prevalence varies from one community to another principally because the incidence of rheumatic heart disease and undiagnosed or uncorrected congenital heart disease is higher in developing countries. Anaemia in pregnancy: A. Cardiac output falls in the presence of anaemia. 31. 2. PHYSIOLOGIC CHANGES DURING PREGNANY CO increases by 40% as SV increases HR increases by 10 beats/min - 3rd trimester CO peaks at 18-24 wks then stabilize CO increase grade II systolic flow murmur along … The multiple choice questions in this online test paper focuses on Reproductive Biology / Reproductive Medicine / Infertility MCQ. Congenital Heart Disease: Congenital heart disease is a problem with the heart's structure and function that is present at birth. Is associated with diastolic hypertension. The radial pulse should be palpated while auscultation is performed. MCQ.8 The most common cause of heart disease in pregnant woman in Pakistan is: a) Congenital heart disease. B. 4.1 Introduction. Multiple choice questions and answers on animal receptor organs MCQ questions PDF covers topics: Controlling entry of light, internal structure of eye, and mammalian eye. This is a formative exercise. 28. MCQ’s for cardiology is written by the high levels of cardio specialist and consultants. Schedule your appointment now for safe in-person care. Take this medicine as directed by your physician. Hepatitis B (HBV) Like hepatitis C, this virus can cause serious infections that damage the liver.You can pass both viruses to your baby before, during, or after vaginal or C-section delivery. be premedicated with nonsteroidal antiinflammatory drugs. There is no one-size-fits-all approach to managing heart disease during pregnancy. Trainees may retake the test several times if needed. Acute rheumatic fever (ARF) is a- suppurative sequel of group A streptococcus infection b- heart disease that occurs two to four days after group A streptococcuspharyngitis. Question One: MCQ: 1. c) Myocardial infarction. Courses are validated upon successful completion of the MCQ test: "Test your knowledge". C Foetal abnormality. c) Increased incidence of eye disease. If you are looking for self evaluation of your PG Medical entrance exam preparation then this online Reproductive Biology / Reproductive Medicine / Infertility MCQ Test Paper will help you to evaluate your exam preparation. 3.11 RecommendationsCongenital heart disease and pulmonary hypertension. D Abruptio placenta. Cardiac disease was the commonest cause of maternal death in the most recent Confidential Enquiry into Maternal and Child Health (CEMACH) which reports the deaths of UK women while pregnant or within 42 days of the B. Gum disease is caused by plaque which is the sticky film of bacteria on the teeth. Increased risk of developing type 2 diabetes b. 40% c. 16% d. 20% e. Cannot be computed from data given Key: True: 102. The following are key points to remember from this review about the use of cardiovascular medications during pregnancy: long murmur. 1 Their incidence is increasing, and they are already the most common cause of maternal death in the UK. Fontan circulation 3. Hemodynamics in Pregnancy Significant hemodynamic changes occur during pregnancy, which can lead to decompensation in the setting of severe valvular disease. Prediabetes is associated with all of the following except: a. Eisenmenger syndrome 4. Phenytoin a. PG NEET OBG MCQs 89 – Newborn/IUGR/Newborn Abnormalities – 1. You have … Screening stands a good chance of accurately detecting major congenital abnormalities (85% sensitivity, 99% specificity) and allow parents to consider all options including termination in case of ma… He has distant heart sounds on auscultation of the chest. Basic Nursing MCQs| Practice Test 14 These multiple choice questions are based on basic nursing targeted for nurses preparing for NCLEX, nursing licensure, assessments, nursing entrance exam (BN, MN, M.Sc Nursing). Uterine atony. In families with heart disease, screening for congenital heart disease can start as early as in the 13th week. 1.IUGR is defined when: birth weight is below the tenth percentile of the average of gestational age Management of cardiac disease in pregnancy. 9. 1. Answers: Low blood pressure. The pregnancy should be terminated because enalapril is associated with a much higher risk of major fetal malformations, above the baseline of 10%. PART 1(Pharmacology and Clinical Pharmacy ­ MCQ) ... A drug that is used safely in hypertensive patients with ischemic heart disease: ... A chronic hypertensive pregnant woman may be treated as a … biotechnology. 3. ----- Question 20 •Select which of the following is correct in relation to congenital heart disease. MVA<0.6 cm2. B 10,000 Population per year. Signs of heart disease in pregnancy:(LQ) Diastolic murmur; Systolic murmur; Tachycardia; Dyspnea on exertion; Ans(1) 2. C HIV. Key: e MCQ.9 A 30 years old G 5P 4 is admitted in labor room with H/O 32 weeks gestation, mild vaginal bleeding and abdominal pain. E Placenta praevia. Effect of pregnancy on heart disease In the presence of maternal heart disease, such a dramatic altera-tion in the cardiovascular system may ultimately lead to cardiac decompensation or death. Before taking this medicine inform your doctor if you are pregnant, breastfeeding or having any heart, kidney or liver disease. Start studying Cardiovascular - Pathology MCQ ACEM. O&G - Hypertensive disorders in pregnancy. Which ofthe following symptoms is most commonly associated with left-sided heart failure? In 1 cohort of pregnant patients with severe MS, 67% developed a maternal cardiac event, and 44% of infants were born prematurely or died. PRE-PREGNANCY COUNSELLING. 3.10 Methods of contraception and termination of pregnancy, and in vitro fertilization. Questions Answers. Predictors of pregnancy complications in women with congenital heart disease. Pharmacology MCQs: Antihypertensives, vasodilators, angina drugs, cardiac glycosides. CVS lesson 4 - ECG hints and tips. CARDIOVASCULAR MCQ. 101. MCQs in Endodontics Chapter 4 : Treatment planning 1- A patient suffers from rheumatic heart disease, Which of the following should be carried out: B. c. D. be premeditated with antibiotics per American Heart Association guidelines. Therefore, the risk for a similarly affected child in a future pregnancy for the family described in the vignette is 25%. Congenital heart disease and pulmonary hypertension. Learn more: Mayo Clinic facts about coronavirus disease 2019 (COVID-19) Our COVID-19 patient and visitor guidelines, plus trusted health information Latest on COVID-19 vaccination by site: Arizona patient vaccination updates Arizona, Florida patient vaccination updates Florida, Rochester patient vaccination updates Rochester and … He recently returned from a business trip to the USA. 1. However, for women with heart disease pregnancy is associated with additional risks and deserves special attention. Personal (maternal) history of heart disease 3. INTRODUCTION. e) Rheumatic heart disease. Read "10.1016/j.bpobgyn.2014.04.004" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. heart disease in pregnancy is attributed to increased rates of obesity, hypertension and diabetes, in addition to the survival of women with congenital heart disease to maternal age. displaced apex beat. The most common side effects of taking this medicine are headache, dizziness, diarrhoea or visual problems. There is no one-size-fits-all approach to managing heart disease during pregnancy. Impaired glucose tolerance c. Increased risk of heart disease and stroke d. Increased risk of developing type 1 diabetes 7. symptoms prior to pregnancy. Pulmonary emboli c. Renal failure d. Right-sided heart failure 33. At that time, it was not fully understood what led to cardiovascular disease, and heart deaths were common in people 50 years of age. Malaria is a common parasitic disease of the tropics, resulting in million deaths every year. c) Beta-blockers are recommended for the treatment of mitral stenosis during pregnancy. It is the most common type of birth defect. Blood lost to the placenta C. Increased plasma volume. Cardiovascular disease c. Kidney disease d. Tinnitus 6. 4. Maternal weight gain is usually monitored in pregnancy. c) 30-32 weeks. A. congestive cardiac failure B. pericardial effusion C. mitral valve disease D. hypertrophic subaortic stenosis E. hiatus hernia. patient journey of a pregnant woman with heart disease. Pregnancy is absolutely contraindicated in primary pulmonary hypertension. E None of the above. A.The murmur of a ventricular septal defect is likely to be loud in the first day of life. Coronary Heart Disease is of major Public Health significance in the U.S and elsewhere, and Medical Nutrition Therapy is a cost effective means of tackling the problem. Cardiology: Heart diseases in Pregnancy. 3.9 Infective endocarditis. E. Cardiac output increases by 30-50% due to increased stroke volume and, to a lesser extent, increased heart rate later in pregnancy. # The antibiotic cover is mandatory before extraction in the following condition of the heart: A. Ischemic heart disease B. 2) Pregnancy test 3) Prothrombin time 4) Serum protein electrophoresis 5) Urinary protein estimation 4- A 51 year old businessman complains of dyspnoea on exertion. Aortic dissection in pregnancy: Is more common in Marfan's syndrome. Management of rheumatic heart disease during pregnancy can include a person taking beta-blockers, a type of medication used to treat and prevent _____. how will you interpret the result 1. intrauterine foetal demise 2. early pregnancy, FHR will appear … D Viral disease. ... Diabetic heart disease 2. CARDIAC DISEASE 1. Rheumatic  90% of HD in pregnancy Reduces by 50% with better treatment of RHD and decrease pathogenisty of organism 2. Congenital  35% HD 5. RHEUMATIC HEART DISEASE Mitral stenosis   Specific valvular disease Increase Risk of  Heart failure  SABE  Thromboembolic disease  Increase of fetal wastage 6. PREGNANCY CHANGES IN MAJOR BODY … Pregnant women with severe hypertension, defined as a diastolic blood pressure >110 mmHg at <20 weeks' gestation, have a 40% risk of superimposed pre-eclampsia. She has no family history of congenital heart disease. Which of the following features indicates the presence of heart disease in pregnancy and which is not seen in a normal pregnancy? Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2011, significant clinical and scientific advances have occurred in the field. A. The AMC exams require a lot of work and study for you to succeed, but we will be there every step of … Fluid around the baby's heart (hydrops) 5. ... Overview of pregnancy content for AMC MCQ. 3 Valvular heart disease and endocarditis. atrial fibrillation) and pulmonary oedema. Pregnancy protects against relapse – F, no protection; Psy.
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