1.やさしい
A pregnant teenager is at increased risk of which complication?
- AMacrosomia and shoulder dystocia
- BPreterm birth and low birth weight
- CMultiple pregnancy
- DPost-term pregnancy beyond 42 weeks
2.やさしい
Which food should a pregnant woman avoid because of the risk of listeriosis?
- AWell-cooked eggs
- BPasteurised yoghurt
- CUnpasteurised soft cheese
- DHard cheese such as cheddar
3.やさしい
What is Chadwick's sign?
- AA bluish-purple colour of the cervix, vagina and vulva
- BDarkening of a line from the umbilicus to the pubis
- CSoftening of the tip of the cervix
- DSoftening of the lower uterine segment
4.ふつう
After birth of the baby, the placenta has not been delivered after a long time despite active management. What is this called?
- APlacental abruption
- BPlacenta praevia
- CUterine inversion
- DRetained placenta
5.ふつう
Which antihypertensive is commonly used in pregnancy but should be avoided in a woman with asthma?
- AMethyldopa
- BNifedipine
- CHydralazine
- DLabetalol
6.ふつう
Which statement about the lactational amenorrhoea method (LAM) is correct?
- AIt works for as long as the mother breastfeeds at all
- BIt becomes more reliable after the periods return
- CIt is reliable even when the baby is formula-fed at night
- DIt needs full breastfeeding, no periods and a baby under 6 months
7.むずかしい
A woman at 8 weeks takes valproate for epilepsy. She asks whether she should stop it. Which response is best?
- AContinue as usual because epilepsy drugs are all safe in pregnancy
- BHalve the dose herself to reduce the risk to the baby
- CStop the drug today because it causes birth defects
- DDo not stop it suddenly; arrange urgent specialist review
8.むずかしい
A woman at 16 weeks says she drinks four cups of strong coffee a day. Which response is most appropriate?
- ATell her coffee has no effect on pregnancy and she can continue
- BAdvise switching to energy drinks, which contain less caffeine
- CAdvise limiting caffeine to about 200 mg a day, roughly two cups of coffee
- DTell her to switch to strong tea, which has no caffeine
解答
- 1. B · Preterm birth and low birth weight
- 2. C · Unpasteurised soft cheese
- 3. A · A bluish-purple colour of the cervix, vagina and vulva
- 4. D · Retained placenta
- 5. D · Labetalol
- 6. D · It needs full breastfeeding, no periods and a baby under 6 months
- 7. D · Do not stop it suddenly; arrange urgent specialist review
- 8. C · Advise limiting caffeine to about 200 mg a day, roughly two cups of coffee
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