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FCPS P2 Written – 2 Months – Antenatal Care & Medical Disorders Day 2

FCPS P2 Written – 2 Months – Antenatal Care & Medical Disorders Day 2

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Question 1 of 20

1. Question
1. Regarding iodine during pregnancy, which of the following is true?
- a. Maternal requirements remain the same during normal pregnancy.
- b. Fetal neurodevelopment is dependent on adequate thyroid hormone exposure.
- c. Iodine deficiency is the most preventable cause of fetal neurological deficiency.
- d. In women with low or marginal intake, deficiency may manifest as decreased thyroid-stimulating hormone (TSH) levels
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Question 2 of 20

2. Question
1. Regarding the thyroid gland during pregnancy, which of the following is true?
- a. It undergoes enlargement through hypertrophy.
- b. Total T4 concentration increases during pregnancy.
- c. Free T4 concentration increases its mean value by term.
- d. Human chorionic gonadotropin (hCG), which mimics thyroid-stimulating hormone, has declining levels beginning at approximately 20 weeks.
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Question 3 of 20

3. Question
1. The amino acid sequence of the α-subunit of human chorionic gonadotropin (hCG) is identical in all EXCEPT which of the following?
- a. Luteinizing hormone
- b. Thyroid-stimulating hormone
- c. Follicle-stimulating hormone
- d. Corticotropin-releasing hormone
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Question 4 of 20

4. Question
1. 12–19. Which prenatal exposure is associated with an increased risk of childhood thyroid cancer?
- a. Lead
- b. Lithium
- c. Mercury
- d. Radioiodine
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Question 5 of 20

5. Question
1. Prenatal exposure near term to which of the following agents can lead to neonatal toxicity that manifests as hypothyroidism, diabetes insipidus, cardiomegaly, bradycardia, and hypotonia?
- a. Lithium
- b. Fluoxetine
- c. Paroxetine
- d. Escitalopram
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Question 6 of 20

6. Question
1. Once a fetal goiter is identified, it is important to guide therapy to determine whether this finding is associated with hyper- or hypothyroidism. Sampling which of the following is the preferred method to make this determination?
- a. Placenta
- b. Fetal blood
- c. Maternal blood
- d. Amnionic fluid
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Question 7 of 20

7. Question
1. What is the clinical goal of treating fetal thyroid disorders associated with a goiter?
- a. Prevent hydramnios
- b. Decrease the risk of labor dystocia
- c. Correct the underlying physiological abnormality
- d. All of the above
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Question 8 of 20

8. Question
8.What is the risk of a baby developing fetal varicella syndrome (FVS) if the mother develops chickenpox during the first 20 weeks of pregnancy and does not receive VZIG?
- a. 2%
- b. 5%
- c. . 14%
- d. 50%
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Question 9 of 20

9. Question
1. Hand foot and mouth disease is caused by which of the following viruses?
- a. Togavirus
- b. Parvovirus
- c. Coxsackievirus
- d. None of the above
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Question 10 of 20

10. Question
1. A 25 year old patient who is 24 weeks gestation has presented to you she developed a rash this morning. you diagnose it to be chickenpox what would you do next ?
- a. Test Varicella IgM
- b. Test Varicella IgG
- c. Offer oral aciclovir
- d. Offer Intravenous aciclovir
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Question 11 of 20

11. Question
1. A 29 year old patient who is 32 weeks gestation has presented to A&E as they feel very unwell and have an extensive rash which has developed over the past 3 days. You diagnose severe chickenpox. What is the appropriate next?
- a. Test Varicella IgM
- b. Test Varicella IgG
- c. Offer oral aciclovir
- d. Offer Intravenous acyclovir
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Question 12 of 20

12. Question
1. A 27 year old women is 14 weeks pregnant. Her 6 year old son has developed chickenpox following a recent outbreak at school. She has never had chickenpox. What is the appropriate next action?
- a. No action required
- b. Test Varicella IgM
- c. Test Varicella IgG
- d. Offer oral aciclovir
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Question 13 of 20

13. Question
1. A 29 year old women is 19 weeks pregnant. Her 7 year old daughter has developed chickenpox following a recent outbreak at school. Her GP has phoned you as she is non‐immune to Varicella. What is the appropriate action?
- a. No action required
- b. Offer varicella‐zoster immunoglobulin (VZIG) and consider infectious until 21 days past exposure
- c. Test Varicella IgM
- d. Offer varicella‐zoster immunoglobulin (VZIG) and consider infectious until 28 days past exposure
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Question 14 of 20

14. Question
1. A 31 year old patient develops shingles when 39 weeks pregnant and delivers three days later whilst the rash is still present. What is the appropriate management for this patients baby?
- a. No action required
- b. Test Varicella IgM
- c. Test Varicella IgG
- d. Offer oral aciclovir
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Question 15 of 20

15. Question
1. In GDM, maternal hyperglycaemia is independently and signifi cantly linked to all of the following adverse outcomes except:
- a. Caesarean delivery
- b. Early miscarriages
- c. Fetal hyperinsulinism
- d. Macrosomia
- e. Neonatal hypoglycaemia
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Question 16 of 20

16. Question
1. All of the following are pre-existing risk factors for development of type 2 diabetes except:
- a. Assisted reproduction
- b. Increasing parity
- c. Maternal age
- d. Maternal BMI
- e. Twin pregnancy
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Question 17 of 20

17. Question
1. Which of the following statements best describes the role of serum ferritin in pregnancy?
- a. An unstable glycoprotein involved in iron transport.
- b. An acute phase reactant and levels rise in infection.
- c. Best test parameter to assess any type of anaemia in pregnancy.
- d. Ferritin levels steadily reduce as pregnancy progresses.
- e. Treatment should be started when ferritin levels are below 50 μg/l.
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Question 18 of 20

18. Question
1. Ms XY has is a primigravida, 29 weeks pregnant and has been diagnosed with gestational diabetes on her 2 h OGTT. Her fasting plasma glucose on the OGTT was 7.3 mmol/L. Which of the following treatment options are best suited to her?
- a. Dietary modifi cation alone
- b. Diet + exercise
- c. Insulin + diet + exercise
- d. Metformin + diet + exercise
- e. Glibenclamide + diet + exercise
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Question 19 of 20

19. Question
1. Ms XY is a Para 1 who delivered 13 weeks ago. She was diagnosed to have GDM (diet controlled). Her recent fasting plasma glucose level is 6.3 mmol/L and her HbA1C is 6 %. What is her risk of developing type 2 diabetes?
- a. Current type 2 diabetes
- b. High risk of developing type 2 diabetes
- c. Moderate risk of developing type 2 diabetes
- d. NO risk of developing type 2 diabetes
- e. Low risk of developing type 2 diabetes
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Question 20 of 20

20. Question
1. Which aspect of cardiac physiology does not change in pregnancy?
- a. Mean arterial pressure
- b. Pulmonary vascular resistance
- c. Left ventricular contractility
- d. Left ventricular stroke work index
Correct

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