MEDICINE 14: 35-YEAR-OLD FEMALE
WITH MISSED PERIOD QUESTIONS
AND ANSWERS
Which jmof jmthe jmfollowing jmstatements jmare jmtrue jmabout jmthe jmdiagnosis jmof
jmpregnancy? jmSelect jmall jmthat jmapply.
A. jmBlood jmtests jmof jmhuman jmchorionic jmgonadotropin jm(hCG) jmcan jmidentify
jmpregnancy jmas jmearly jmas jm8 jmdays jmpost-conception jm(about jm1 jmweek jmprior jmto
jma jmmissed jmperiod).
B. jmHome jmpregnancy jmtests jmare jmnot jma jmreliable jmindication jmof jmpregnancy.
C. jmThe jmpresence jmof jma jmdelayed jmmenstrual jmperiod jmin jma jmfemale jmwith
jmpreviously jmregular jmperiods jmand jmsymptoms jmof jmnausea, jmbreast jmtenderness,
jmand jmfatigue jmare jmclassical jmindications jmof jmpregnancy.
D. jmTransvaginal jmultrasound jmis jma jmuseful jmmethod jmfor jmdating jmearly jmpregnancy
jmbut jmis jmnot jmtypically jmused jmto jmdiagnose jmpregnancy. jm- jmANS--A. jmBlood jmtests
jmof jmhuman jmchorionic jmgonadotropin jm(hCG) jmcan jmidentify jmpregnancy jmas jmearly
jmas jm8 jmdays jmpost-conception jm(about jm1 jmweek jmprior jmto jma jmmissed jmperiod).
C. jmThe jmpresence jmof jma jmdelayed jmmenstrual jmperiod jmin jma jmfemale jmwith
jmpreviously jmregular jmperiods jmand jmsymptoms jmof jmnausea, jmbreast jmtenderness,
jmand jmfatigue jmare jmclassical jmindications jmof jmpregnancy.
D. jmTransvaginal jmultrasound jmis jma jmuseful jmmethod jmfor jmdating jmearly jmpregnancy
jmbut jmis jmnot jmtypically jmused jmto jmdiagnose jmpregnancy.
In jmcases jmof jmuncertain jmor jmunknown jmLMP jmor jmsize/date jmdiscrepancies jmthat
jmarise jmduring jmpregnancy, jmwhat jmcan jmbe jmused jmto jmestimate jmgestational jmage
jmof jmfetus? jm- jmANS--USG
Dr. jmMedel jmasks jmyou, jm"What jmadditional jmtests jmwould jmbe jmappropriate jmto jmorder
jmat jmthis jmtime?" jm(she jmis jm4 jmweeks jmpregnant jmat jmher jmfirst jmappt) jmSelect jmall
jmthat jmapply.
A. jmBlood jmtype/Rh jmstatus
B. jmChlamydia jmscreening jm(urine jmor jmswab)
C. jmHemoglobin/hematocrit
D. jmHepatitis jmB jmsurface jmantigen
E. jmHepatitis jmC jmantibody
F. jmHerpes jmI/II jmantibody
G. jmHIV jmtest
H. jmScreening jmfor jmbacterial jmvaginosis
I. jmToxoplasmosis
, J. jmUltrasound jm(for jmdating) jm- jmANS--A. jmBlood jmtype/Rh jmstatus
B. jmChlamydia jmscreening jm(urine jmor jmswab)
C. jmHemoglobin/hematocrit
D. jmHepatitis jmB jmsurface jmantigen
G. jmHIV jmtest
What jmdevelops jmin jmthe jmfirst jm12 jmweeks jm- jmANS---heart
-spine
-arms
-legs
-other jmorgans
Can jmyou jmuse jmhot jmtubs jmand jmsaunas jmwhile jmpregnant? jm- jmANS--avoid jmin jmthe
jmfirst jmtrimester
What jmare jmthe jmfolic jmacid jmand jmiron jmrecommendations jmfor jma jmpregnant
jmwoman? jm- jmANS--0.4-0.8mg/d jmfolic jmacid
30mg/d jmiron
What jmfoods jmdo jmthe jmCDC jmrecommend jmyou jmavoid jmduring jmpregnancy? jm-
jmANS--shark, jmswordfish, jmking jmmackerel, jmtilefish, jmsaccharin
How jmmuch jmweight jmis jma jmnormal jmweight jmpregnant jmwoman jmexpected jmto jmgain?
jm- jmANS--25-35 jmlbs
When jmdo jmyou jmcheck jmfetal jmheart jmtones? jm- jmANS--10-12 jmweeks
What jmprenatal jmvaccines jmare jmrecommended? jm- jmANS---flu
-TDaP
-rhogam jmif jmindicated
What jmdoes jmthe jmquad jmserum jmscreening jmconsist jmof? jm- jmANS---AFP
-hCG
-unconjugated jmestriol
-dimeric jminhibin jmA
What jmdo jmabnormal jmlevels jmin jmthe jmquad jmserum jmscreening jmindicate? jm- jmANS--
inc jmrisk jmfor jmneural jmtube jmdefect, jmtrisomy jm21, jmand jmtrisomy jm18
What jmdietary jmmeasures jmcan jmbe jmtaken jmto jmhelp jmwith jmnausea jmand jmvomiting
jmin jmpregnancy? jm- jmANS---Eat jmfrequent, jmsmall jmmeals, jmavoid jmsmells jmand jmfood
jmtextures jmthat jmcause jmnausea.
-Solid jmfoods jmshould jmbe jmbland jmtasting, jmhigh jmin jmcarbohydrates, jmand jmlow jmin
jmfat.
-Salty jmfoods jmusually jmcan jmbe jmtolerated jmearly jmin jmthe jmmorning, jmand jmsour jmand
jmtart jmliquids jmoften jmare jmtolerated jmbetter jmthan jmwater.