Question 1

Raft-forming antireflux medications are an effective option for GERD during pregnancy.

Accepted Answer

A) True 
 B)False  True

Question 2

Nausea and vomiting of pregnancy typically resolves at what gestational age?

Accepted Answer

A)  9-11 weeks 
B)  12-14 weeks 
C)  Near term 
A)  9-11 weeks 
B)  12-14 weeks 
C)  Near term B

Question 3

You are seeing a woman for her second prenatal visit at 14 weeks. She has felt very lucky because thus far her only pregnancy symptoms have been fatigue and breast tenderness. Today she presents with nausea and vomiting for 2 days. The nausea and vomiting are likely due to pregnancy.

Accepted Answer

A) True 
 B)False  False

Question 4

Behavioral therapy is less effective than pharmacological treatment for insomnia.

Accepted Answer

A) True 
 B)False

Question 5

Acid inhibitors are benign and the first line of treatment for gastroesophageal reflux during pregnancy.

Accepted Answer

A) True 
 B)False

Question 6

D.D. is currently 10 weeks pregnant and states that she is nauseous all the time and vomiting 2-3 times a day. She has lost 2 pounds in 5 weeks. At the last visit you instructed her about natural remedies, which she has tried without relief. She would like to try medication. Which of the following would you prescribe for her?

Accepted Answer

A)  Diphenhydramine 
B)  Doxylamine with Pyridoxine 
C)  Ondansetron 
D)  Prochlorperazine 
A)  Diphenhydramine 
B)  Doxylamine with Pyridoxine 
C)  Ondansetron 
D)  Prochlorperazine

Question 7

M.S. is 34 weeks gestation and has had heartburn during her pregnancy that thus far has been relieved by lifestyle modification and calcium carbonate. Today she drops in to your office stating that her symptoms have worsened in the last 24 hours. She looks very sick and states that she now has midepigastric pain with nausea, vomiting, and malaise. She says the pain is constant and not food related. Which of the following would be the best management at today's visit?

Accepted Answer

A)  Begin omeprazole and call in 24 hours if symptoms don't resolve 
B)  Consult with physician to rule out HELLP syndrome 
C)  Order ultrasound to rule out gallbladder disease 
D)  Prescribe ranitidine and begin IV hydration with 1-2 liters 
A)  Begin omeprazole and call in 24 hours if symptoms don't resolve 
B)  Consult with physician to rule out HELLP syndrome 
C)  Order ultrasound to rule out gallbladder disease 
D)  Prescribe ranitidine and begin IV hydration with 1-2 liters

Question 8

Which of the following is not a component of the Pregnancy-Unique Quantification of Emesis and Nausea Index (PUQE index)?

Accepted Answer

A)  Episodes of emesis per day 
B)  Hours per days of nausea 
C)  Percentage of weight loss 
D)  Times per day of retching 
A)  Episodes of emesis per day 
B)  Hours per days of nausea 
C)  Percentage of weight loss 
D)  Times per day of retching

Question 9

Which of the following herbs is safe to use during pregnancy as a remedy for nausea and vomiting?

Accepted Answer

A)  Ginger 
B)  Linden 
C)  Meadowsweet 
D)  Motherwort 
A)  Ginger 
B)  Linden 
C)  Meadowsweet 
D)  Motherwort

Question 10

Which of the following would not be included in the differential diagnosis a woman with heartburn during pregnancy?

Accepted Answer

A)  Cholestasis of pregnancy 
B)  Gallbladder disease 
C)  HELLP syndrome 
D)  Pancreatitis 
A)  Cholestasis of pregnancy 
B)  Gallbladder disease 
C)  HELLP syndrome 
D)  Pancreatitis

Question 11

Which of the following is true of hyperemesis gravidarum?

Accepted Answer

A)  A woman with previous hyperemesis will almost always have it with subsequent pregnancies. 
B)  Diagnosis can be made by ketonuria, micronutrient deficit, and weight loss of at least 5 pounds. 
C)  For diagnosis you must have weight loss of greater than 5% of prepregnancy body weight. 
D)  Wernicke's encephalopathy is a common sequelae of patients with hyperemesis gravidarum. 
A)  A woman with previous hyperemesis will almost always have it with subsequent pregnancies. 
B)  Diagnosis can be made by ketonuria, micronutrient deficit, and weight loss of at least 5 pounds. 
C)  For diagnosis you must have weight loss of greater than 5% of prepregnancy body weight. 
D)  Wernicke's encephalopathy is a common sequelae of patients with hyperemesis gravidarum.

Question 12

Identify the medication that is the only FDA-approved option for nausea and vomiting of pregnancy.

Accepted Answer

A)  Diclegis 
B)  Metoclopramide 
C)  Ondansetron 
D)  Promethazine 
A)  Diclegis 
B)  Metoclopramide 
C)  Ondansetron 
D)  Promethazine

Question 13

Intravenous fluid therapy for nausea and vomiting of pregnancy should be reserved for situations where other methods have failed.

Accepted Answer

A) True 
 B)False

Question 14

Exposure to blue light promotes melatonin production and enhances sleep quality.

Accepted Answer

A) True 
 B)False

Question 15

Most women experience some nausea and/or vomiting during pregnancy.

Accepted Answer

A) True 
 B)False

Exam 32: Common Discomforts of Pregnancy

Raft-forming antireflux medications are an effective option for GERD during pregnancy.

Nausea and vomiting of pregnancy typically resolves at what gestational age?

You are seeing a woman for her second prenatal visit at 14 weeks. She has felt very lucky because thus far her only pregnancy symptoms have been fatigue and breast tenderness. Today she presents with nausea and vomiting for 2 days. The nausea and vomiting are likely due to pregnancy.

Behavioral therapy is less effective than pharmacological treatment for insomnia.

Acid inhibitors are benign and the first line of treatment for gastroesophageal reflux during pregnancy.

Which of the following is not a component of the Pregnancy-Unique Quantification of Emesis and Nausea Index (PUQE index)?

Which of the following herbs is safe to use during pregnancy as a remedy for nausea and vomiting?

Which of the following would not be included in the differential diagnosis a woman with heartburn during pregnancy?

Which of the following is true of hyperemesis gravidarum?

Identify the medication that is the only FDA-approved option for nausea and vomiting of pregnancy.

Intravenous fluid therapy for nausea and vomiting of pregnancy should be reserved for situations where other methods have failed.

Exposure to blue light promotes melatonin production and enhances sleep quality.

Most women experience some nausea and/or vomiting during pregnancy.

Legal Scope of Practice and Clinical Guidelines

First Well Baby Visit

Care of the Post Nicu Graduate

0 to 3 Years of Age Interval Visit

3 to 6 Years of Age Interval Visit

6 to 11 Years of Age Interval Visit

The Adolescent and Young Adult 12-21 Years of Age Interval Visit

Preventive Immunizations for Children and Adults

Developmental Assessment: Screening for Developmental Delay and Autism

Childhood Asthma

Atopic Dermatitis in Children

Attention Deficit Hyperactivity Disorder

Childhood Depression

Failure to Thrive During Infancy

Child Maltreatment

Childhood Overweight and Obesity

Urinary Incontinence in Children

Abnormal Uterine Bleeding

Amenorrhea

Screening for Intraepithelial Neoplasia and Cancer of the Lower Genital Tract

Female and Male Sterilization

Hormonal Contraception

Menopause

Non-Hormonal Contraception

Urinary Incontinence

Obstetric Health Maintenance and Promotion: the Initial Prenatal Visit

Prenatal Genetic Screening and Diagnosis

Return Prenatal Visit

Postpartum Visit

Guidelines for Medical Consultation During Pregnancy

Birth Choices for Women With a Previous Cesarean Delivery

Gestational Diabetes Mellitus

Hypertension in Pregnancy: Preeclampsia-Eclampsia

Preterm Labor Management

Urinary Tract Infection Prevention and Management in Pregnancy

Adult Health Maintenance and Promotion

Health Care Maintenance for Adults With Developmental Disabilities

Health Care Maintenance for Transgendered Individuals

Post-Exposure Prophylaxis for Hiv Infection

Cutaneous Abscess Management

Anemia

Anticoagulation Therapy

Anxiety

Asthma in Adolescents and Adults

Benign Prostatic Hypertrophy

Cancer Survivorship in Adult Primary Care

Chronic Obstructive Pulmonary Disease

Chronic Non-Malignant Pain Management

Chronic Viral Hepatitis

Dementia

Depression

Diabetes Mellitus

Epilepsy

Gastroesophageal Reflux Disease

Geriatric Syndromes

Heart Failure

Herpes Simplex Infections

Hypertension

Intimate Partner Violence Domestic Violence

Irritable Bowel Syndrome

Lipid Disorders

Low Back Pain

Obesity

Primary Care of Hiv-Infected Adults

Smoking Cessation

Thyroid Disorders