MEDS 576 - Midterm Class Questions
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