Medical Disorders in pregnancy
Obstetrics & Gynaecology · Topic 12
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 12 · combined PDF page 430
Practice questions
- According to the review on medical disorders in pregnancy, when should management planning for a woman with a pre-existing medical disorder begin?
- Which assessment is specifically highlighted before conception in a woman with a pre-existing medical disorder?
- Preconception counseling for a woman with a chronic medical disorder should address which paired issue?
- A woman with a pre-existing medical disorder is planning pregnancy. Which prenatal-care approach is consistent with the cited review?
- Which pairing correctly distinguishes examples of disorders that may predate pregnancy from those that may first manifest during pregnancy, as described in the review?
- A disorder is first recognized during pregnancy. Which example from the cited review best fits this pattern?
- According to the review, which set of factors influences the outcome of pregnancy complicated by a medical disorder?
- In the cited review of immune thrombocytopenic purpura (ITP) in pregnancy, which maternal measurement is emphasized for careful monitoring?
- In the older ITP pregnancy review, platelet antibodies were discussed as potentially useful for which purpose?
- The older review on ITP in pregnancy highlights concern about potential effects of maternal disease on which patient?
- According to the older ITP review, steroid therapy near term was described as potentially beneficial for which outcome?
- In the older ITP review, what fetal scalp platelet count was cited as a threshold below which immediate cesarean delivery was described?
- In the PPI meta-analysis, how many PPI-exposed patients were included in the overall analysis of pregnancy outcomes?
- The overall meta-analysis estimated an odds ratio of 1.12 (95% CI 0.86–1.45) for major malformations with PPI exposure. Which interpretation is most appropriate?
- Which outcome was specifically included in the PPI meta-analysis and had an overall odds ratio of 1.29 (95% CI 0.84–1.97)?
- What was the reported overall odds ratio and 95% confidence interval for preterm delivery after PPI exposure in the meta-analysis?
- In the secondary analysis of omeprazole alone, which estimate was reported for major malformations?
- Which summary best reflects the conclusion of the cited 2009 PPI meta-analysis?
- Which trio of outcomes did the cited PPI meta-analysis assess?
- A pregnant patient with asthma is worried that preventing attacks and protecting the fetus are competing goals. Which response best reflects the cited review?
- The cited review associates high maternal BMI with which set of pregnancy-related concerns?
- Which preconception measure is highlighted by the obesity review as potentially helping improve outcomes in future pregnancies?
- In addition to pregnancy loss and stillbirth, which later-life concern for the child is mentioned in the obesity review?
- A 2024 position statement on cardiac implantable electronic devices in pregnancy specifically addresses patients with which devices?
- The stated safety scope of the 2024 position statement on cardiac devices in pregnancy extends across which periods?
- A clinician summarizes the PPI meta-analysis as proving that PPI exposure cannot cause any adverse pregnancy outcome. Which response best corrects this interpretation?
- A woman with a medical disorder predating pregnancy asks whether disease severity matters if she receives high-quality care. Which statement best reflects the cited review?