Order Diagnosis of Impending Eclampsia Discussion

Order Diagnosis of Impending Eclampsia Discussion
Order Diagnosis of Impending Eclampsia Discussion
1. Diagnosis of pre-eclampsia requires:
A. Blood pressure. of more than 140/
90 mn1 Hg on two separate occasions
4 h apart.
B. Coagulation failure.
C. Excretion of more than 300 mg of
protein in 24 hours.
D. Intrauterine growth restriction.
E. Liver failure.
• Obstetrics by Ten Tet,c/rers, 19th edition, chapter 10,
page 122.
• SB/\ Questions in Obstetrics, du,pter 6, pnge 58.
2. The management of a woman who has a
blood pressure of 150/95 mm Hg on two
separate occasions 4 hours apart and significant prote.inuria, at a POA of 32 wee.ks
A. Adn1ission to hospital.
B. Con101encing oral antih ypertensive
drugs in,mediately.
C. Comn1encing oral aspirin.
D. Perfom1ing a coagulation profile twice
a week.
E. Performing umbilical artery Doppler
studies once a week.
Order Diagnosis of Impending Eclampsia Discussion
• Hypertensilm in pregnancy: d;agnosis and
mnnngement-NICE Clinia,I guideline (CG107/,, table 2.
• 581\ Questio11s in Obstetrics, clucpter 6, page 59.
3. A diagnosis of impending eclampsia is
made in a woman with pre-,,dampsia if:
A. The 24 hour urine protein excretion is
more than 300 01g.
B. The diastolic blood pressure is n1ore
than 110 n1n1 Hg.
C. The reflexes are exaggerated.
D. The umbilical artery diastolic blood
flow is absent.
E. There L~ in1paim1ent of coagulation.
• SBA Questions in Obstetrics, chapter 6, page 59.
• Hypertension ;,, pregnancy: d;agnosis and
num,cgement- NICE Clinical guideline /CG107/,
4. Management of eclampsia requires
administration of:
A. Intravenous diazepam.
B. Intravenous frusemide.
C. lnh·avenous hydralazine.
D. Intravenous magnesiun1 sulphate.
E. Sublingual nifedepine.
5 Management of rdampsia requires:
A. Adn1ission to the ICU.
B. Continuing the pregnancy if th e
maturity is less than 34 w1c-ek.~.
C. Excluding HELLP syndron1e.
D. ·Maintenance of the airway.
-E. Renal dialysis.
6. Management of eclampsia requires:
A. Delivery as soon as possible, if the
foetus is alive, irrespective of the
8. Delivery after the fits are controlled.
C. Adn1inistration of intrave n ous
h ydralazi ne.
D. Early induction of labour.
E. Delivery after the patient is stable if
the foetus is already dead.
7. (A) Which of the following methods are
suitable tode.livera wmnan witheclampsia?
A. Augmentation of labour with amniotomy followed by an oxytocin infusion
if the won1an is in labour with a
cervical dilatation of 6 cm.
8. Elective caesarean section after controlling fits.
C. Emergency caesarean section as soon
as possible.
D. Induction of labour with amniotomy
followed by an oxytocin infu~ion.
E. Induction of labour with vagi nal
Order Diagnosis of Impending Eclampsia Discussion
8. The foUowing drugs are used to control
fits in eclampsia:
A. Diazepan,.
B. Magnesium sulphate.
C. Phenobarbitone.
D. Phenytoin sodium.
E. Sodium valproate.
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