Today’s Quiz 16/4/22 Leave a Comment / Blog / By obgninja 12345 Z7 OC 1 / 5 1. Q9 OC What is the optimal gestational age for delivery in Obstetric Cholestasis with severe biochemical abnormality? A. 34 weeks B. 40 weeks C. 37 weeks D. 38 weeks According to the GTG 43 - A discussion should take place with women regarding induction of labour after 37+0 weeks of gestation. The case for intervention (after 37+0 weeks of gestation) may be stronger in those with more severe biochemical abnormality (transaminases and bile acids). A large study based on historical data suggests that immediate delivery at 36 weeks of gestation without fetal lung maturity testing or steroids was optimal . ( The Obstetrician & Gynaecologist 2016;18:273–81. DOI: 10.1111/tog.12308) . To answer this question prospective testing in a randomised controlled trial is required. 2 / 5 2. What is the Recurrence rate of Obstetric Cholestasis in future pregnancies? A. 5 TO 10 % B. 20 to 40 % C. 40 to 90 % The recurrence rate of OC is 45 to 90% 3 / 5 3. Q8 OC Which Contraceptives are usually contraindicated in women who have a history of Obstetric Cholestasis ? A. Progesterone injectibles B. Progesterone implants C. Combined oral Contraceptives D. Intra uterine contraceptive device Estrogen containing contraceptives can lead to recurrence of Cholestasis like symptoms 4 / 5 4. q9 OC What is the normal range for AST, ALT, GGT and Bilirubin in pregnancy? A. 20 % Less than non pregnant level B. 20 % more than non pregnant level C. Same as non pregnant level D. 50 % More than non pregnant level For transaminases,gamma-glutamyl transferase and bilirubin, the upper limit of normal throughout pregnancy is 20% lower than the non-pregnant range Source- GTG 43 5 / 5 5. Q7 OC A Primigravida at 37 weeks had her labor induced due to Obstetric Cholestasis and is now fit for discharge. How many days after delivery should LFT be repeated? A. Immediately after delivery and then Every 48 hours B. After 1 week C. After 3 days D. After 6 weeks In normal pregnancy, LFTs may increase in the first 10 days of the puerperium. In a pregnancy complicated by obstetric cholestasis, routine measurement of LFTs should be deferred beyond this time, and can usually be performed before to the postnatal follow-up visit. LFTs at 6 weeks after delivery and an appointment at 8 weeks is a suggested model. Your score is The average score is 69% Facebook Twitter Restart quiz
