MEDS 576 - Midterm Class Questions

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Key elements of a gynecological history include: Menarche (age you had first period) Cervical screening Previous sexually transmitted diseases Family history All of the above

All of the above

Key elements of an obstetric history include everything except; A. Last menstrual period B. Past medical history C. Drug use and smoking D. Number of sexual partners E. Allergies

D. Number of sexual partners

All women require Iron supplementation throughout pregnancy

False

As soon as they discover they are pregnant women should stop taking all medication and see their doctor

False

Folic acid supplements reduce the risk of Downs syndrome

False

Glucose crosses the placenta by simple diffusion

False

HIV is double stranded

False

Infants of HIV positive mothers may test positive for HIV DNA because maternal IgM crosses the placenta

False

Miscarriage is common (1 in 4) and women are unlikely to require any emotional support after a miscarriage

False

The egg is fertilized in the ovary

False

The hormone hCG raised throughout pregnancy

False

•It is always safer for women who are HIV positive to have their baby by C-section.

False

•Normal pregnancy is associated with a raised CD4 count

False

Oral hairy leukoplakia is common in WHO HIV clinical stage two

False (3)

HIV 1 group N is the dominant form

False (M)

South Africa has one of the highest rates of? Deaths from road traffic accidents. Drug and alcohol abuse. Domestic violence, HIV and TB infection. Sexual assault

HIV and TB infection.

Over 45% of deaths in children under five are caused by: Pre-term birth Pneumonia Birth asphyxia Diarrhea Malaria Malnutrition

Malnutrition

When we take a history from a patient the most important thing we are evaluating is? Their understanding of the problem Their ability to pay us for the consultation Potential risks to their health immediate or long term Any expectations that they have Any family problems they are experiencing

Potential risks to their health immediate or long term

One of the biggest problems facing South Africa today is? Cell phone coverage Food shortages Roadrage Poverty Climate change

Poverty

Name the capital city of South Africa

South Africa has three capital cities - Cape Town, Pretoria and Bloemfontein

AZT is a nucleoside reverse transcriptase inhibitor

True

CD4 plays a role in adaptive immunity

True

HIV is and RNA virus

True

HIV is enveloped

True

Human placental lactogen reduces maternal facilitation of glucose

True

In normal pregnancy, the hormone, hCG, doubles every 48 hours in an ectopic pregnancy there is a suboptimal rise in levels of hCG

True

In pregnancy, blood pressure reaches its lowest point at around 20 weeks

True

In pregnancy, circulating volume of blood increases 40%

True

Pregnancy is a time of relative insulin resistance

True

Pregnant women are at increased risk of venous thromboembolism

True

Reverse transcriptase allows virus to transcribe viral DNA into the cell

True

Stillbirth is a potential complication of gestational diabetes

True

Women with gestational diabetes need closer monitoring in pregnancy

True

hCG useful for monitoring ectopic pregnancy

True

•Breastfeeding in untreated women has 15-45% risk of mother to child transmission

True

•If CD4 is > 200 there is no need to give prophylaxis against PCP and toxoplasmosis

True

•Untreated pregnant women with HIV are more likely to have preterm deliveries

True

TB is spread by; •Blood •Respiratory droplets •Contaminated water •Contaminated food •Sexual contact

•Respiratory droplets

Multidrug resistant Tuberculosis (MDT)occurs when? 1.Medication not taken for the correct length of time 2.Incorrect dose of medication subscribed 3.Patient is in close contact with another person with MDT TB 4.TB drugs they are prescribed are of poor quality 5.All of the above

5.All of the above


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