Pregnancy Medicine Practice Questions

Question 1

A 28-year-old woman at 34 weeks gestation presents with sudden onset severe headache and seizures. Her BP is 180/120 mmHg. What is the most appropriate immediate treatment?

Accepted Answer

Magnesium sulfate IV

Answer

Labetalol IV

Answer

Immediate cesarean section

Answer

Diazepam IV

Answer

Mannitol IV

Question 2

A 37-year-old woman presents with fatigue, joint pain, and a photosensitive rash. She is anti-Ro positive and planning pregnancy. What is the recommended fetal monitoring?

Accepted Answer

Serial fetal echocardiograms

Answer

Monthly ultrasounds

Answer

Amniocentesis

Answer

Chorionic villus sampling

Answer

No additional monitoring

Question 3

A 33-year-old woman at 30 weeks gestation presents with sudden onset dyspnea and chest pain. She has a swollen left leg. D-dimer is elevated. What is the most appropriate investigation?

Accepted Answer

Compression ultrasound of leg

Answer

Chest X-ray

Answer

V/Q scan

Answer

CT pulmonary angiogram

Answer

Arterial blood gas

Question 4

A 36-year-old woman at 34 weeks gestation develops sudden onset severe abdominal pain and vaginal bleeding. Her previous delivery was by cesarean section. Fetal heart rate shows bradycardia. What is the most likely diagnosis?

Accepted Answer

Uterine rupture

Answer

Placental abruption

Answer

Placenta previa

Answer

Vasa previa

Answer

Preterm labor

Question 5

A 34-year-old woman at 28 weeks gestation presents with severe itching, particularly on palms and soles. Bile acids are elevated. What is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy

Answer

Atopic dermatitis

Answer

HELLP syndrome

Answer

Acute fatty liver of pregnancy

Answer

Scabies

Question 6

A 41-year-old woman presents with fatigue, weight gain, and dry skin. TSH is 18 mU/L free T4 is low. She is planning pregnancy. What is the target TSH level during pregnancy?

Accepted Answer

<2.5 mU/L

Answer

<1.0 mU/L

Answer

<4.0 mU/L

Answer

<6.0 mU/L

Answer

<10.0 mU/L

Question 7

A 37-year-old woman at 34 weeks gestation presents with severe hypertension and visual disturbances. Blood tests show elevated liver enzymes and low platelets. What is the definitive treatment?

Accepted Answer

Delivery

Answer

Antihypertensive therapy

Answer

Corticosteroids

Answer

Magnesium sulfate

Answer

Plasma exchange

Question 8

A 29-year-old woman at 36 weeks gestation presents with severe hypertension and proteinuria. Fetal monitoring shows signs of compromise. What is the most appropriate management?

Accepted Answer

Immediate delivery

Answer

Antihypertensive therapy

Answer

Magnesium sulfate

Answer

Corticosteroids

Answer

Bed rest

Question 9

A 34-year-old woman presents with fatigue, joint pain, and photosensitive rash. She has positive anti-Ro antibodies and is planning pregnancy. What is the main fetal risk?

Accepted Answer

Congenital heart block

Answer

Neural tube defects

Answer

Growth restriction

Answer

Preterm labor

Answer

Cleft palate

Question 10

A 43-year-old woman presents with fatigue, cold intolerance, and weight gain 6 months after childbirth. TSH is 15 mU/L, free T4 low. What is the most likely diagnosis?

Accepted Answer

Postpartum thyroiditis

Answer

Hashimoto's thyroiditis

Answer

Postpartum depression

Answer

Sheehan syndrome

Answer

De Quervain's thyroiditis

Pregnancy Medicine

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Antenatal care

Gestational diabetes

Hypertensive disorders of pregnancy

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Lessons in Pregnancy Medicine

Master Pregnancy Medicine