Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

ABIM Nep Pregnancy & Kidney

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
—-% of women with chronic hypertension develops preeclampsia.   25%  
🗑
T/F worsening proteinuria during pregnancy suggest preeclampsia   FALSE. It can be from CKD with increased GFR.  
🗑
Preeclampsia increases risks of ______.   HTN, CKD, ESRD, CVA, CAD, cardiomyopathy  
🗑
T/F blood pressure control reduces the risk of preeclampsia   FALSE, but it lowers rate of complications.  
🗑
BP meds and breast-feeding   Labetalol okay to use, avoid atenolol  
🗑
T/F ACE-I are safe during breast-feeding.   TRUE  
🗑
How do you distinguish preeclampsia from TTP/HUS?   preeclampsia develops after 22 weeks, TTP/HUS and intrinsic renal disease can present earlier  
🗑
Factors associated with adverse renal outcomes during pregnancy?   creat > 1.3 and microalbuminuria  
🗑
Lupus nephritis and pregnancy recommendations?   Optimal timing is to wait 6-12 months w/o activity. 20-60% chance of flare.  
🗑
T/F cyclophosphamide is safe during pregnancy.   FALSE, cyclophosphamide is teratogenic.  
🗑
When is it safe to perform biopsy during pregnancy?   before 23 weeks  
🗑
T/F ACE-I are contraindicated during breast-feeding.   False  
🗑
What is major effect of blood pressure control during pregnancy in those w HTN?   lowers complications from severe HTN but does not reduce risk of preeclampsia.  
🗑
Creatinine > _____ is associated with acceleration of renal function loss during pregnancy.   greater than 1.4  
🗑
T/F diabetes increases risk of overt nephropathy and women with normal renal function at conception.   False  
🗑
Best BP agents during pregnancy?   methyldopa, labetalol, nifedipine XR. Diuretics are safe to continue, But usually not started during pregnancy. Hydralazine, diltiazem, verapamil are also acceptable.  
🗑
What BP meds are contraindicated during pregnancy?   ACE-I and RAAS antagonists. Both associated with fetal anomalies  
🗑
Thrombotic microangiopathy eval?   ADAMTS13 < 5% is likely from TTP. Levels >5% suggest a typical HUS (pregnancy, genetics, cancer, drugs)  
🗑
Usually initiate antihypertensive therapy in adult pregnant women at BP of ____.   150/100. Some wait ≥160/110 mmHg  
🗑
Usual goal BP for HTN in pregnancy?   140 to 150 / 90 to 100 mm  
🗑
BP goal in pregnancy WITH complicated or 2cdary HTN(eg, target-organ damage [left ventricular hypertrophy, microalbuminuria, retinopathy], dyslipidemia, maternal age >40 years,CVA, previous perinatal loss, DM)?   UTDOL suggests treatment of hypertension, even if mild—> goal: 120 to 140 / 80 to 90 mmHg  
🗑
T/F Women with a hypertensive disorder of pregnancy are 2x as likely to develop HTN in the 12 months after delivery compared to those normotensive during pregnancy.   TRUE  
🗑
Preeclampsia-related hypertension usually resolves how soon?   Usu within few wks (average 16±9.5 days) and is almost always gone by 12 weeks postpartum. But may take as long as 6 mos to resolve  
🗑
The majority of pregnancy related ____ (name complication) occur in 1st 48 hours postpartum, with ____ (cause) being the strongest risk factor.   strokes in PP are usu from hypertension  
🗑
T/F methyldopa is recommended to take during pregnancy and postpartum.   FALSE. safe during pregnancy, but avoid postpartum d/t risk of postnatal depression  
🗑


   

Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
 
To hide a column, click on the column name.
 
To hide the entire table, click on the "Hide All" button.
 
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
 
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

 
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how
Created by: ka1usg
Popular Medical sets