Preconception + Diagnosing Pregnancy
What is the recommended dose of folic acid during pregnancy planning?
What is 400mcg/day (5mg/day if high risk)
What is the most common eneuploidy (chromosomal defect) seen in live births?
What is trisomy 21
A 29-year-old at 26 weeks fails her 1-hour glucose challenge test (GCT). What is the next step?
What is a 2 hour OGTT
What is the target TSH level in the first trimester pregnancy?
TSH < 2.5
What screening tool can you use to assess intimate partner violence during pregnancy?
What is SAFE or HITS questionnaire
A woman presents with a positive pregnancy test and RLQ abdominal pain. What diagnosis would you want to rule out and what test would you order to do so?
What is ectopic pregnancy + abdominal ultrasound.
What screening test is available to all pregnant women (covered by OHIP)
what is first trimester screening (NIPT, NT ultrasound)
What are: Rubella, Hep B, Varicella
How often should you monitor TSH in pregnancy?
What is q4 weeks for first 20 weeks, and at least once between 26-32 weeks
A postpartum patient presents with paranoia, hallucinations, and confusion. What condition should be suspected?
What is postpartum psychosis (psychiatric emergency!)
What key vaccinations should be given before conception to reduce risks in pregnancy?
What are: MMRV, Hep B, HPV (live vaccines, contraindicated in pregnancy)
What should you give a 32 year old Rh negative woman at 28 weeks?
What is Rhogam IM @ 28 weeks if baby is Rh positive
What are the 5 TORCH Diseases?
What are: TORCH Infections - Toxoplasmosis, Other (syphilis, varicella, Zika), Rubella, CMV, HSV
Why should TSH be monitored closely in pregnancy?
What is increased thyroid demand; hypothyroidism can cause miscarriage, preeclampsia, cognitive defects in the baby
What are two pregnancy complications associated with domestic violence?
What are preterm birth, low birth weight, fetal injury, maternal mental health disorders