Inpatient OB– Questions With Applicable
Solutions
Why is bedrest NOT indicated Correct Answer - Decrease
muscle tone, calcium loss, depression
HELLP syndrome Correct Answer - Hemolysis, elevated liver
enzymes, low platelets
Hemolysis peripheral smear Correct Answer - Schistocytes
(fragments of RBCs) and burr cells
Antenatal corticosteroids in HELLP syndrome Correct Answer -
Increase platelets
Duration of mag PP for seizure prophylaxis Correct Answer -
24-48 hrs
Mag Sulfate antidote Correct Answer - Calcium gluconate
Mag Sulfate contraindications Correct Answer - Myasthenia
gravis
Diabetes- fetal complications Correct Answer - SAB,
macrosomia, congenital anomalies (heart and spine- hyperglycemia
during organogenesis)
Diabetic acidosis Correct Answer - arterial pH <7.3, HCO3 <15
Diabetic ketoacidosis treatment Correct Answer - Fluids
Regular (short) insulin: onset, peak, duation Correct Answer -
Onset: 30-60min
, Peak: 2-4hrs
Duration: 6-8hrs
NPH (long) insulin: onset, peak, duration Correct Answer -
Onset: 1-3hrs
Peak: 5-7hrs
Duration: 13-18
Most common maternal cardiac disease Correct Answer -
Mitral stenosis- rheumatic heart disease
Decreased systemic vascular resistance Correct Answer -
Avoid regional anesthesia
Will thrombocytopenia resolve after delivery Correct Answer -
Yes
Immune thrombocytopenia purpura- 1st line of therapy Correct
Answer - Oral corticosteroids
Acute fatty liver transaminase Correct Answer - Elevated after
>20wks
What does thyroid disease present with Correct Answer -
Hyperemesis
Cholestasis Correct Answer - Pruritus of palms and soles of
feet; increases at night
How long does rhogam last Correct Answer - 12wks
Malignant hyperthermia triggering agents Correct Answer -
Halothane, Succinychlorine
Solutions
Why is bedrest NOT indicated Correct Answer - Decrease
muscle tone, calcium loss, depression
HELLP syndrome Correct Answer - Hemolysis, elevated liver
enzymes, low platelets
Hemolysis peripheral smear Correct Answer - Schistocytes
(fragments of RBCs) and burr cells
Antenatal corticosteroids in HELLP syndrome Correct Answer -
Increase platelets
Duration of mag PP for seizure prophylaxis Correct Answer -
24-48 hrs
Mag Sulfate antidote Correct Answer - Calcium gluconate
Mag Sulfate contraindications Correct Answer - Myasthenia
gravis
Diabetes- fetal complications Correct Answer - SAB,
macrosomia, congenital anomalies (heart and spine- hyperglycemia
during organogenesis)
Diabetic acidosis Correct Answer - arterial pH <7.3, HCO3 <15
Diabetic ketoacidosis treatment Correct Answer - Fluids
Regular (short) insulin: onset, peak, duation Correct Answer -
Onset: 30-60min
, Peak: 2-4hrs
Duration: 6-8hrs
NPH (long) insulin: onset, peak, duration Correct Answer -
Onset: 1-3hrs
Peak: 5-7hrs
Duration: 13-18
Most common maternal cardiac disease Correct Answer -
Mitral stenosis- rheumatic heart disease
Decreased systemic vascular resistance Correct Answer -
Avoid regional anesthesia
Will thrombocytopenia resolve after delivery Correct Answer -
Yes
Immune thrombocytopenia purpura- 1st line of therapy Correct
Answer - Oral corticosteroids
Acute fatty liver transaminase Correct Answer - Elevated after
>20wks
What does thyroid disease present with Correct Answer -
Hyperemesis
Cholestasis Correct Answer - Pruritus of palms and soles of
feet; increases at night
How long does rhogam last Correct Answer - 12wks
Malignant hyperthermia triggering agents Correct Answer -
Halothane, Succinychlorine
