White coat syndrome
Potty Break
Michelin Man
Do you feel it?
Keep 'em separate
100
In this trimester, blood pressure decreases.
What is second trimester?
100
This urine test is done at every office visit for a patient with diagnosis of gestational hypertension.
What is urine dip for protein?
100
This is where pregnant patients accumulate more fluid.
What is dependent areas, I.e. feet?
100
These are PIH symptoms?
What is headache, scotomata and RUQ pain?
100
Define gestational hypertension.
What is BP of 140/90 but less than 160/110 on a previously normotensive patient, and no protein in her urine (<300 on 24hr or less than 30 on dip)?
200
This hormone causes a decrease in BP during pregnancy.
What is progesterone?
200
This value on 24-hour protein diagnoses mild pre-eclampsia.
What is 300mg?
200
This is where pre-eclamptics usually see edema.
What is face and hands?
200
This is what scotomata means.
What is black spots in the visual field?
200
This test differentiates GHTN from pre-eclampsia.
What is 24-hour urine protein?
300
This blood pressure makes you consider the diagnosis of pregnancy induced hypertension.
What is 140/90?
300
For a patient with dx GHTN, this value of urine dip stick warrants further evaluation and possibly severe pre-eclampsia.
What is +2 (100)?
300
This is what causes edema in pre-eclamptics.
What is capillary leakage?
300
This is what causes the RUQ pain.
What is edema around liver capsule?
300
On a patient with no prenatal care, you can diagnose chronic hypertension after this time period.
What is 12wks postpartum?
400
This blood pressure diagnoses severe pre-eclampsia. This mechanism causes cyclical hypertension in pre-eclampsia.
What is 160/110? What is vasoconstriction?
400
For a patient that is 37wks or more with BP more than 140/90, this number on a 24-hour urine protein warrants delivery.
What is 300mg? Mild pre-eclampsia is delivered at term.
400
After delivery of a severe pre-eclamptic patient, you will commonly see a worsening of hypertension due to this fact.
What is fluid that had third spaced due to the capillary leakage is now returning to the intravascular space?
400
Patient with elevated BPs who suddenly experiences excruciating RUQ pain. You worry about this.
What is ruptured liver?
400
This amount of protein in a 24hr urine protein makes patient severe.
What is 5g?
500
This is the mechanism behind pre-eclampsia.
What is vasoconstriction and capillary leakage?
500
On a 36wks patient with elevated BP and 300mg of protein, above this creatinine level would warrant delivery.
What is 1?
500
This medication can be used to decrease blood pressures in a postpartum patient who has 3+ pedal edema to her knees.
What is lasix? Start with 20mg IV and may give subsequent doses of 40mg.
500
A patient is on magnesium sulfate for seizure prophylaxis due to severe pre-eclampsia. You need to perform this part of the physical exam to assess for magnesium toxicity. This is the antidote for magnesium toxicity.
What is deep tendon reflexes? That's the first sign of magnesium toxicity. This toxicity can ultimately cause respiratory failure. What is calcium gluconate?
500
This is HELLP syndrome. These are the lab values that can make a patient severe pre-eclamptic.
What is platelets <100, AST > 2x the upper limit of normal and hemoglobin < 12?
M
e
n
u