Complicated Pregnancy (PEARLS) Smarty PANCE (Latest 2023 / 2024) Actual Questions and Answers 100% Correct
- What is the most likely disorder in a bleeding pregnant patient with an extremely elevated
beta HCG?
Answer: Gestational Trophoblastic Disease
- Premature separation of the placenta from the uterine wall?
Answer: Abruptio placentae
- Surgical incision of the abdominal wall and uterus to deliver a fetus
Answer: Cesarean section (C-section)
- Failure of cervical dilation and fetal descent (difficult labor)
Answer: Dystocia
- Rh incompatibility
Answer: If a mother is Rh- and the baby is Rh+, then the mother may develop antibodies against the infant's blood
- What does a snow storm pattern on US likely represent?
Answer: Gestational Trophoblastic Disease
- What is the most likely disorder in a bleeding pregnant patient with a suboptimal rise in
beta HCG?
Answer: Abortion
- What do a lecithin to sphingomyelin ratio > 2:1 and the presence of the pulmonary
surfactant phosphatidylglycerol represent?
Answer: Fetal lung maturity
- List 4 antihypertensive drugs used in pregnancy
Answer: Alpha-methyldopa - Hydralazine - beta blockers - Calcium channel blockers
- Risk factors for shoulder dystocia?
Answer: Fetal Macrosomia - Diabetic mother - Maternal obesity - Postdate pregnancy
- What is McRobert's Maneuver?
Answer: Used to manage shoulder dystocia during delivery of the infant. Maternal legs are removed from stirrups and sharply flexed upon the abdomen.
- When is APGAR score assessed?
Answer: At 1 min and 5 min after birth (Normal score is 7-10 - Score of < 7 needs to be evaluated further) 1 / 2
- What are the 5 APGAR assessments in the newborn?
Answer: Activity (muscle tone)
- Pulse - Grimace (reflex irritability) - Appearance (skin color) – Respirations
- What medication is used for seizure prophylaxis in preeclampsia and seizure treatment in
eclampsia?
Answer: Magnesium
- Patients with severe eclampsia may develop HELLP syndrome. What does HELLP stand
for?
Answer: Hemolysis - Elevated Liver enzymes - Low Platelets
- What differentiates preeclampsia form eclampsia?
Answer: Eclampsia is preeclampsia + seizures
Preeclampsia: HTN + Proteinuria
Eclampsia: HTN + Proteinuria + Seizure
- How do you cure a woman with preeclampsia?
Answer: Delivering the fetus will cure preeclampsia
- What two factors define preeclampsia?
Answer: Hypertension and proteinuria
- Leakage of amniotic fluid prior to 37 weeks gestation?
Answer: Premature Rupture of membranes
- What lab test is used to diagnose premature rupture of membranes?
Answer: Nitrazine strip test and/or fern test on slide
- Which placental disorder presents with painful vaginal bleeding, uterine contractions, and
fetal distress?
Answer: Abruptio placenta
- Define abruptio placenta
Answer: Premature separation of the placenta from the uterine wall
- Which placental disorder presents with painless vaginal bleeding?
Answer: Placenta Previa
- Implantation of placenta over the cervical os is called?
Answer: Placenta Previa
- Treatment for Rh incompatibility?
- / 2
Answer: RhoGAM (Rh Immune globulin) at 28 weeks gestation and postnatally in non-