N+V
Criteria for HG includes Sx presenting within less than how many weeks of gestation?
16 weeks
What is the most common perinatal infection?
CMV
What plant/herb is thought to have benefit on NVP?
Ginger
Which country eliminated Australia in the 2026 FIFA World Cup?
Egypt
Which position should generally be avoided?
Supine
What scoring system is used to screen for severity of NVP? + name one question
PUQE-24 score
1. In the last 24 hours, for how long have you felt nauseated or sick to your stomach?
2. ...how many times have you vomited?
3. ...how many times have you had retching or dry heaves without throwing up?
Gram +ve cocci
Name 3 anti-emetics commonly used in treatment of severe NVP
Histamine/Dopamine antagonists: Metoclopromide, Doxylamine
5-HT: Ondansetron
Phenothiazine: Promethazine
How many hearts does an octopus have?
3
DRAM refers to the diastasis of which muscle?
Rectus Abdominus
Name 3 DDx of NVP you want to rule out from 3 different systems
GI - gastro, GORD (H.pylori), hepatitis, pancreatitis, biliary tract disease, peptic ulcer disease, gastroparesis, appendicitis peritonitis
Genitourinary - UTI, ovarian torsion, nephrolithiasis
CNS - migraine, infection, tumours, raised ICP, vestibular pathologies
Metabolic - drugs, use/withdrawal of cannabinoids, DKA, Addison's, thyrotoxicosis, non-infectious hep, hypercalcemia, eating disorders
What does TORCH serology test for?
(Toxoplasmosis, Rubella, CMV, HSV, Syphilis)
Name 2 brand names of antacids that are safe in pregnancy and their active ingredient
Mylanta, Gaviscon, Gastrogel (magnesium hydroxide, but calcium is okay too)
Avoid antacids containing sodium bicarbonate or magnesium trisilicate -> fluid retention
What year did the first iPhone come out?
2007
The average increase in FHR by maternal exercise, regardless of intensity
10-15bpm
What would you expect to see in the levels of the following with Gestational Hyperthyroxinemia:
hCG: low/high
T4: suppressed/elevated
TSH: suppressed/elevated
hCG: high
T4: elevated
TSH: suppressed
What is the classic triad for Toxoplasmosis infection?
1. chorioretinitis
2. intracranial calcifications (diffuse, unlike CMV's periventricular pattern)
3. hydrocephalus
What is first-line IAP (if no signs of maternal sepsis), with and without penicillin hypersensitivity?
1st: Benzylpenicillin
Non-anaphylactic: Cefazolin
Anaphylactic: Clindamycin or Vancomycin
Which national flag does not have a rectangular shape?
Nepal
The offspring of exercising women were on average how many grams smaller? (Wiebe et al.)
31g
Prenatal multivitamins may contribute to NVP, which 2 micronutrients should you continue if possible? and at what doses?
Iodine (150mcg/day) and Folate (>400mcg/day until 12 weeks)
Name 3 features associated with cCMV infection seen on fetal US
– Microcephaly
– Cerebral ventriculomegaly
– Intrauterine growth restriction (IUGR)
– Ascites
– Intracranial calcification
– Pleural or pericardial effusions
- Amniotic fluid abnormalities (oligo/polyhydramnios)
- Hydrops fetalis
- Hepatomegaly
- Abdominal calcification
- Pseudomeconium Ileus
- Hyperechoic bowel
Which 2 therapeutic interventions might we consider to prevent in-utero transmission in primary maternal CMV?
CMV Hyperimmuneglobulin (HIG)
Valaciclovir (awaits further studies)
What is the largest multiple pregnancy known to survive?
Halima Cissé gave birth to five girls and four boys at a clinic in Morocco on May 4, 2021
70% to 30%