Cardiology: Heart diseases in Pregnancy

1.Cardiac output and blood volume is maximum during ___________ weeks of pregnancy:
a) 12-14 weeks
b) 20-24 weeks
c) 30-32 weeks
d) At delivery

2.Haemodynamic changes regress to normal after __________ weeks of delivery:
a) 1-2
b) 2-4
c) 4-6
d) 6-8

3. Echocardiogram is indicated when the following are detected in pregnancy except:
a) Diastolic murmur
b) Continous murmur
c) Gr 2 systolic murmur
d) ECG abnormalities

4. A healthy female with RHD MS/MR at the time of hospital vaginal delivery should:
a) Receive Infective endocarditis prophylaxis.
b) Shall decide after a predelivery ECHO for IE prophylaxis
c) No need for IE prophylaxis if there are no features of infection
d) Shall do a cardiology consultation

5. If a patitent needs BMV during pregnancy , ideal timing is:
a) First trimester
b) Second trimester
c) Third trimester
d) Before delivery

6. A female in first trimester with congenital AS with transvalvular gradient >50mm of and LVF symptoms came to you for advice , the ideal course is:
a) Terminate pregnancy
b) Immediate valve replacement
c) Manage medically with nifedipine
d) Ask her to continue normally till delivery.

7.Urogenital abnormalities in fetus is seen when treated with:
a) Hydralazine
b) Digoxin
c) Enalapril
d) B-blockers

8.AHA/ACC guideline for absolute indication for termination of pregnancy is in:
a) Eissenmenger syndrome
b) PrimaryPulmonary hypertension
c) Cyanotic congenital heart disease
d) Pulmonary veno occlusive disease
e) All of the above

9.When an anti coagulant is indicated in a pregnant female, the drug distribution during 1-12weeks,12-36weeks,36-delivery -- is respectively:
a) Heparin,Heparin,Heparin
b) Heparin,Warfarin,Heparin
c) Heparin,Warfarin,Warfarin
d) Warfarin,Heparin,Heparin

10.Caeserian section is indicated in:
a) RHD-MS/MR
b) RHD -AS/AR
c) VSD
d) Coarctation of aorta

11. Peripartun cardiomyopathy can occur upto________months of delivery.
a) 3
b) 4
c) 5
d) 6

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