ID

Question 1

ObGyn complications of BV (7)

Answer 1

1. Preterm Labour
2. PPROM
3. Spontaneous Abortion
4. ChorioAmnionitis
5. Post Partum Endometritis
6. Post Op infections
7. Subclinical PID

Question 2

Treatment of BV in pregnancy

Answer 2

1. Flagyl 500mg PO BID x 7 days

or

2. Clindamycin 300mg PO BID x 7 days (PV not recommended as it does not influence PTD)

Question 3

Risk factors for BV in pregnancy (4)

Answer 3

1. racial origin (black women)
2. Smoking
3. Sexual Activity
4. Vaginal Douching

Question 4

Ultrasound signs of Parvovirus B19 (5)

Answer 4

1. Increased placenta thickness
2. Echogenic bowel/ meconium peritonitis
3. Increased nuchal translucency (first trimester)
4. Amniotic fluid abnormalities
5. Increased MCA peak velocity

Question 5

Presentation of Parvovirus B19 (Maternal and Fetal)

Answer 5

Maternal:

1. Asymptomatic
2. Erythema Infectiosum/rash
3. Arthopathy
4. Anemia
5. Myocarditis

Fetal:

1. Fetal loss
2. Anema –> Hydrops
3. Myocarditis

Question 6

List the vaccines that are contraindicated in pregnancy

Answer 6

1. MMR (Measles, Mumps, Rubella)
2. Varicella
3. Yellow Fever (unless in high risk situation)