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1. Incorrect Question Tools: Report Question Which of the following statements is most accurate? The most common cause of death in patients with eclampsia is renal failure Symptoms of carpal tunnel syndrome will usually improve with the onset of pregnancy The most common cause of death in ecl...

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  • 7 februari 2022
  • 157
  • 2021/2022
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1. Incorrect

Question ITools:

Report IQuestion

Which Iof Ithe Ifollowing Istatements Iis Imost Iaccurate?

The Imost Icommon Icause Iof Ideath Iin Ipatients Iwith Ieclampsia Iis Irenal Ifailure


Symptoms Iof Icarpal Itunnel Isyndrome Iwill Iusually Iimprove Iwith Ithe Ionset Iof IpregnancyIThe


most Icommon Icause Iof Ideath Iin Ieclampsia Iis Icerebral Ihemorrhage
I




The Iincidence Iof Ivenous Ithromboembolism Iin Ipregnant Ipatients Iis Ihalf Ithat Iof Inonpregnant Ipatients

Incorrect

In Ipatients Iwith I eclampsia, Ithe Imost Icommon Icause I of Ideath I is Icerebral Ihemorrhage. IWhile Ithe Imost Icommon Icause I of
Iheadache I during Ipregnancy Iis Imuscle Icontraction Iheadache, Iserious Icauses I of Iheadache Ithat Imay Ibe I exacerbated I by

Ipregnancy I include Ipseudotumor Icerebri, Isubarachnoid I hemorrhage, I and Icertain I brain Itumors. IPregnant Ipatients I are I at I a

Ifive-fold Iincreased Irisk Iof Ivenous Ithromboembolism.While Iacute Ikidney Iinjury Iis Icommon Iin Ipatients Iwith Ieclampsia, Ideath

IisIr are Isince Ithe I advent I of Iperitoneal Idialysis I and Irenal Itransplantation,


Carpal Itunnel Isyndrome Ican Iworsen Iwith Ipregnancy Iand Isubside Ipost-partum.

References:

Mackay IAP, IBerg ICJ, IAtrash IHK, IPregnancy Irelated Imortality Ifrom Ipreeclampsia I and I eclampsia, IObstetGynecol I2001;
I97:I533-538


Liu IY, Iet Ial.Pregnancy Ioutcomes Iin Ipatients Iacute Ikidney Iinjury Iduring Ipregnancy: Ia Isystematic Ireview Iand Imeta-analysis,
IBMC IPregnancy IChildbirth, I 017; I 17: I235


Jido ITA, IEclampsia: Imaternal Iand Ifetal Ioutcome. IAFR IHealth ISci I2012; I12: I148-152
2. Incorrect

Question ITools:

Report IQuestion

A Ipatient Iearly Iin Iher Ifirst Itrimester Icomplains Iof Isevere Ilower Iabdominal Ipain. IWhich Iof
Ithe Ifollowing Imost Isignificantly Idecreases Ithe Ilikelihood Iof Iectopic Ipregnancy?

, 2


Doubling Iof Ithe Iquantitative IHCG Iin I72 Ihours


An Iintrauterine Igestational Isac Iwith Ia Idouble Idecidual Isac Isign Ivisible Ion Itransvaginal IsonographyIA


history Iof Iprior Itubal Isterilization
I




Blood Ivisible Iat Ithe Icervical Ios


A Iprevious Ihistory Iof Ipelvic Iinflammatory Idisease Ior Iother ISTD

Incorrect

Identification I of I an Iintrauterine I gestational Isac Iwith I a Idouble Idecidual Isac Isign Isignificantly Ireduces Ithe Ilikelihood I of I an
I ectopic Ipregnancy I(though Iit Idoes I NOT Irule I it I out!). IHCG Ilevels Inormally I double I every I1.8 Ito I 3 Idays Ifor Ithe Ifirst I6 Ito I7

Iweeks. IThe Iectopic Ipregnancy Isometimes Iresults Iin Iabnormally Ilow IHCG Iproduction, Ihowever, Inormally Irising IHCG Ilevels

Iare Icommonly Iseen Iduring Iearly Iectopic Ipregnancy. ISlow Ileakage Iof Iblood Ior Iabrupt Irupture Iof Ithe Ipregnancy Imay Ilead Ito

Ivaginal Ibleeding I or Iblood Iin Ithe Iperitoneum I or Ipelvis. IFactors Ipredisposing Ito I ectopic Ipregnancy I include Iprevious Itubal

Iinfections I or Isurgeries, I use Iof I an I IUD, Ismoking I or I older Imaternal I age.




Reference:

Marx: IRosen’s IEmergency IMedicine, IConcepts Iand IClinical IPractice, I6th Ied., I2006, IChpt I177: IAcute IComplications Iof
IPregnancy


3. Incorrect

Question ITools:

Report IQuestion

A Ipatient Iat I12 Iweeks' Igestation Ipresents Iwith Iprolonged Inausea Iand Ivomiting. IA
Idiagnosis Iof Ihyperemesis Igravidarum Iwas Imade Ion Ia Iprior IED Ivisit. IWhich Iof Ithe

Ifollowing Ibest Isupports Ia Idiagnosis Iof Imolar Ipregnancy?

, 3


Abnormal Iappearance Iof Ithe Iuterus Ion Ipelvic Iultrasound


Presence Iof Inormal Ifetal Iheart Itones
I




Uterine Ifundal Iheight Ipalpable Ijust Iat Ithe Ipelvic Ioutlet


Presence Iof Iserum Ior Iurine Iketones
I




Starvation, Iweight Iloss Iand Idehydration

Incorrect

The Idiagnosis Iof I gestational Itrophoblastic Idisease I(molar Ipregnancy) Iis Ibased I on Ithe Icharacteristic I"snowstorm"
I appearance Iof Ihydroptic Ivesicles Iwithin Ithe Iuterus. IAbsence I of Ifetal Iheart Itones Iduring Ithe Isecond Itrimester Iis Ia

Icommon I presenting Isign. IThe Iuterine Isize Iis Ilarger Ithan Iexpected Iby Idates Iby I4 Iweeks Ior Imore. ISevere Inausea Iand

Ivomiting, IwithIr esultant Istarvation Iketosis Iand Idehydration, Iare Ipresent Iin Iboth Ihyperemesis Igravidarum Iand Imolar

Ipregnancy.


References:

Marx: IRosen’s IEmergency IMedicine, IConcepts Iand IClinical IPractice, I6th Ied., I2006, IChpt I177: IAcute IComplications Iof
IPregnancy


Dhanda, ISunita, ISubhash IRamani, Iand IMeenkashi IThakur. I"Gestational Itrophoblastic Idisease: IA Imultimodality Iimaging
Iapproach Iwith Iimpact I on Idiagnosis I and Imanagement." IRadiology Iresearch I and Ipractice I2014 I(2014).


DiSaia, IPhilip IJ., Iand IWilliam IT. ICreasman. IClinical Igynecologic Ioncology. IElsevier IHealth ISciences, I2012.

Seckl, IM. IJ., Iet Ial. I"Gestational Itrophoblastic Idisease: IESMO IClinical IPractice IGuidelines Ifor Idiagnosis, Itreatment Iand
Ifollow- I up." IAnnals I of I oncology I 24.suppl I6 I(2013): Ivi39-vi50.


4. Incorrect

Question ITools:

Report IQuestion

Which Iof Ithe Ifollowing Iare Iabnormal Iphysical Iexamination Ifindings Iin Ithe Ipregnant
Ipatient?




Reddish Ilinear Istriae Ion Ithe Iabdomen, Ibreasts, Iand Ithighs


Reddish Ivelvety Iepithelium Iextending Iinto Ithe Iectocervix
I




Diastolic Imurmurs, Iand Isystolic Imurmurs Iof IIII/VI Ior Igreater
I




Spider Inevi Ion Ithe Iface, Ineck Iand Iupper Ichest

Incorrect

A Ithird Iheart Isound Iand Isystolic Imurmurs Iare Icommon Iin Ipregnancy. IAll Idiastolic Imurmurs Iand Isystolic Imurmurs Igreater
IthanIor Iequal Ito IIII/VI Iwarrant Ifurther Iinvestigation. IIn Ipregnancy, Inormal Iextension Iof Icolumnar Iepithelium Iof Ithe Iendocervix

Iinto

, 4


the I ectocervix I appears I as I a Ired Ivelvety Ilesion Iknown I as Ipseudoerosion. IStriae Igravidarum Icommonly I appear I as Ilinear
Imarkings Ion Ithe Ibreast, Ithighs, Iand Iabdomen Iin Ithe Ithird Itrimester. ISpider Inevi Iare Ifrequently Iseen Iin Ipregnancy Ion Ithe

Iface,Ineck, Iupper Ichest, Iand I arms.


5. Correct

Question ITools:

Report IQuestion

A I23-year-old Iprimiparous Ipatient Iat I8 Iweeks' Igestation Ireports Iabdominal Icramping Iand
Imoderate Ivaginal Ibleeding Iwhich Ihas Inow Istopped. IWhich Iof Ithe Ifollowing Istatements Iis

Imost Iaccurate?




The Ipresumptive Idiagnosis Iis Icompleted Imiscarriage.


First Itrimester Ivaginal Ibleeding Iwithout Ipain Iessentially Irules Iout Iectopic Ipregnancy.


Almost Iall Ifirst Itrimester Imiscarriages Iarise Ifrom Ihigh Irisk Imaternal Ibehaviors.
I




The Icervix Ishould Ibe Igently Iprobed Iwith Ia Ismall Icotton Iswab Ito Idetermine Iif Ithe Iinternal Ios Iis Iclosed.


Half Iof Iall Iwomen Iwith Ifirst Itrimester Ibleeding Iwill Iultimately Imiscarry.

Correct

Correct!

It Iis Iwidely I estimated Ithat Iapproximately I50% Iof I all Ifemales Iwho Ihave Ibleeding Iduring Iearly Ipregnancy Iwill Imiscarry,
IpossiblyIhigher Iin Ithe I ED I population. IOf Igreatest Iconcern I in Ithe I differential I diagnosis Iis I ectopic Ipregnancy, Iwhich Imay

Ipresent I as I vaginal Ibleeding Iwith I or Iwithout Ipain. IMost Imiscarried Ifetuses I are Inonviable I up Ito I 2 Iweeks Iprior Ito Iclinical

Isigns I of Imiscarriage; Itherefore I measures I aimed I at Iprevention I are I not I useful. IModerate I daily I activities Ido Inot Iincrease Ithe

Irisk Iof Imiscarriage. ICompleted Imiscarriage Ican I only I be I diagnosed I after I expulsion I of I an I intact I gestational Isac I or

Iidentification I of Iproducts Iof Iconception I after Idilation I and Icurettage, I or Iby I ultimate Iconversion I of Ithe Ipregnancy Itest Ito

Inegative.


References: IMarx: IRosen’s IEmergency IMedicine, IConcepts Iand IClinical IPractice, I6th Ied., I2006, IChpt I177: IAcute
IC omplications I of IPregnancy


6. Correct

Question ITools:

Report IQuestion

Which Iof Ithe Ifollowing Iis Ithe Imost Iaccurate Istatement Iregarding IRh Iimmunization?

The Istandard Idose Iof Ianti-D Iimmune Iglobulin Iis Ithe Isame Iregardless Iof Igestational Iage.


The IKleihauer-Betke Itest Iis Isensitive Ito Ias Ilittle Ias I0.1 Iml Iof Ifetal Iblood Iin Ithe Imaternal Icirculation.

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