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1.Which of the following statements regarding physiological changes in pregnancy is true?CorrectIncorrect
2.A 35-year-old G5P3 presents at 24 weeks’ gestation. She has a history of chronic hypertension, but she is noncompliant with medication. You would like to do a baseline 24-hour urine collection. The patient is of low health literacy, and you are concerned she will not complete the collection as an outpatient, but she refuses to be admitted for it. You decide to do a urinary protein-to-creatinine ratio on a spot urine sample so you can gather additional information about the patient’s renal status. What is the cutoff for abnormal?CorrectIncorrect
3.Which of the following is the threshold for proteinuria in pregnancy, above which levels are considered abnormal?CorrectIncorrect
4.Which of the following values is not a normal serum creatinine in pregnancy?CorrectIncorrect
5.A pregnant patient who previously donated a kidney and now has only one healthy kidney is at risk for which of the following obstetric complications?CorrectIncorrect
6.Lower urinary tract symptoms with pyuria but a sterile urine culture are likely due to which pathogen?CorrectIncorrect
7.What is the leading cause of septic shock during pregnancy?CorrectIncorrect
8.An 18-year-old G1P0 presents at 30 weeks’ gestation with fever, chills, vomiting, dysuria, and frequency for 3 days. She is also experiencing contractions. You diagnose her with pyelonephritis based on her symptoms, fever of 39o C, and urinalysis. She is transferred to labor and delivery for monitoring of contractions. The patient is given intravenous (IV) antibiotics, IV fluids, acetaminophen, and a β-agonist because of the contractions. What complication is more likely in the setting of β-agonist use in patients with pyelonephritis?CorrectIncorrect
9.Once you have treated a pregnant patient for pyelonephritis as an inpatient, for how long should you continue oral therapy as an outpatient?CorrectIncorrect
10.What percentage of pregnant women experience a recurrent urinary tract infection after completion of treatment for pyelonephritis?CorrectIncorrect
11.The risk of recurrent urinary tract infection is:CorrectIncorrect
12.What is the most likely pathological finding on renal biopsy of a patient with eclampsia?CorrectIncorrect