1. 1
PREGNANCY
28-which of the following is more prone to influenza symptoms and problems ?
Pregnant
Q- Which one of these more liable for influenza complications ?
Pregnant woman and postpartum
Q- Contraceptive in postpartum and lactating woman?
Progestin
Q- 35 years woman lactating want to use contraception ?
progesterone
Q- Lactating monohromone therapy is recommended ? progesterone
Q- Contraceptive in postpartum and lactating women ?
Progesterone or Mini Pill
Q- A woman smokes twenty pills and takes contraindications. What is the solution with ?Progestin
19-A 37 years smoker female want contraceptive what is the best for her ?Progestin
Q- Heavy smoker 38 years old married women want to take contraception she is suffering from DVT and hypertension ?
-progesterone
20-what is the effect of smoking in pregnancy ?
reduce blood flow to uterine not sure
Q- Duration of DVT treatment after surgery ? 3 months
55- for female with DVT, which is contraindicated ?.
Combined contraceptives
(Estrogen containing contraceptive)
68. Use of combination OCs ( Oral contraceptives ) contraindicated in case of?
DVT ( Deep vein thrombosis )
26-for female with DVT , combination contraceptive shouldn't be used birth pills) ?
use only progesterone pills(levonorgestrel)
30. woman has DTV (Deep Vein Thrombosis)what the OCS she will take
Levonergesterol
69. A woman had DVT and was treated a year ago , now she wants to use oral contraceptive pills the most suitable ocs for her ?
Levonorgestrel ( or l - norgestrel or D - norgestrel )
Q- Females take levothyroxine 100 and become pregnant what are you doing ? Levo 150
119. a pregnant woman in her third week she take levothyroxine 100 mcg , you advise her:
increase the dose of levothyroxine
12-Women with hypothyroid then pregnant what do to levothyroxine ?
Increase the dose 30-50%
2-woman take levothyroxine 50 and she became pregnant and she feel fatigue
double the dose 1s trimester
54-A 39 years old what is oral birth control pills appropriate for her
Ethinyl estradiol / lnestrenol
22-oral contraceptive work on ?
Gnrh hormone in phase of ovulation
27-Combination contraceptive act on ?
Ovulation
81)Which of the following is the content of a monophasic contraceptive ?
constant dose estrogen and progesterone
70- Which one of the following medications is known to be a powerful enzyme inducer?
Rifampicin
76-A 20-year-old woman is currently on birth control pills.
Which of the following concurrent drug usage most likely will reduce the efficacy of Oral contraceptive pills?
Rifampin
56- Which of the following is the result of drug interactions between birth control pill and erythromycin?
A. The effectiveness of erythromycin may increase B. The effectiveness of erythromycin may decrease
C. The effectiveness of the birth control pill may increase D. The effectiveness of the birth control pill may decrease
2. 2
6-What mean category C
Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but
potential benefits may warrant use of the drug in pregnant women despite potential risks.
208- What is the meaning of category c?
Animal studies show minor risk and human studies are not available Or neither Animal studies nor human studies done
57- Which of the following is a statement that describes a drug with pregnancy category A?
Controlled studies in women fail to show fetal risk
10- Which of the following is a statement that describes a drug with pregnancy category X?
Definite fetal risk in animals and humans of teratogenicity; fetal risks outweigh the benefits
47. Which of the following is a statement that describes a drug with pregnancy category B?
animal studies indicate no fetal risk but no data in humans
209- When to start folic acid to prevent spinal bifida?
1month before pregnancy
323 -Which drug should pregnant start before pregnancy 1 month?
Folic Acid
31-Pregnant woman taking valporic acid go to physician with tonic- clonic seizures. Which of the following is true?
use valporic with folic acid
go to the doctor
67- Calcium dose in pregnancy?
In populations with low dietary calcium intake, daily calcium supplementation (1.5 g–2.0 g oral elemental calcium) is recommended for pregnant
women to reduce the risk of pre-eclampsia.
63-calcium dose with pregnant ?
1200
9-Eclampsia situation ?
Eclampsia is a severe complication of preeclampsia. It’s a rare but serious condition where high blood pressure results in seizures during
pregnancy
596 -Treatment of eclampsia in seizures in woman
Magnesium sulfate
471. A pregnant women with high blood pressure she take labetalol but blood pressure remain high what should we add?
Mgso4
60-Pregnant with HTN?
Labetalol
471- A pregnant women with high blood pressure she take labetalol but blood pressure remain high what should we add?
Answer: Mgso4
Q- HTN patient want to become pregnant what should be do ? Stop lisinopril
78) Which one of the following conditions is a contraindication for the use of enalapril?
Pregnancy
29-Captopril is contraindicated with ?
Pregnancy
295 -Drug in pregnancy for hypertension
First line labetalol, nifedipine extended-release and methyldopa. BP should be maintained between 120 - 160 mmhg systolic and 80 - 105 mmhg
diastolic.
Q- TTT of hypertension in pregnant women? Methyldopa
63-A 28-year-old woman presents with tachycardia and palpitations (ventricular ectopic beats). History revealed essential hypertension and asthma.
Patient wants to conceive(mean become pregnant)
Blood pressure: 147/98 mmHg
What is the most likely alternative to the β-blocker in terms of efficacy on pressure, heart rate and relative safety?
Diltiazem
23-hydralazine is ?
category C pregnancy
13-Treatment nausea and vomiting in pregnant woman
Vitamin B6
815 Treatment nausea and vomiting in pregnant woman
If lifestyle measures fail, pyridoxine (vitamin B6) with or without doxylamine is first line.
3. 3
4-Why we don’t use of NSAID in trimester ?
NSAIDs should generally be avoided due to the risk of premature closure of the ductus arteriosus
24-paracetamol is ?
category B for pregnancy
478 Pregnant with headache?
Paracetamol
327 Pregnant has pain in 3rd trimester what should she take?
Acetaminophen
228- anti diabetic drug used in pregnancy
Metformin
NOTE:
category B in pregnancy & can be used.
in pregnancy.
170- drug of choice (first line agent) for gestational diabetes? (first line agent gestational diabetes?)?
insulin
EYE
14-Treatment of open angle glaucoma in pregnancy ?
Brimonidine
Q- Which treatment is suitable for pregnancy women with glaucoma?
Timolol
Q- Pregnant + glaucoma ? Brimonidine if not available give Timolol
280- Treatment of glaucoma in pregnancy
Answer: First line in treatment of Glaucoma:
Prostaglandin analogues, 1 drop QHS Latanoprost
Travoprost (travatanz) Bimatoprost (Lumigan) Unoprostone (Rescuta) Tafluprost (Zioptan)
Pregnancy category C
Or Beta Blockers: Timolol 1 DROP DAILY OR BID
Pregnancy category C
93- What is first line agent for hypertension in pregnancy?
Answer: Methyldopa
15-responsible for milk production
Lactobacillus bacteria
66) Which of the following hormones stimulate mammy gland development and milk production ?
Prolactin
65-Which of the following is most likely to inhibit lactation?
Progestrone
Q- Medication increase the milk ? metoclopramide
470 Drug product prolactin ?
Drugs that act as dopamine antagonists (for example, metoclopramide and antipsychotics such as risperidone) can increase the secretion of
prolactin.] Second generation of antipsychotics also increase prolactin levels
96- Used as galactagogic increase prolactin?
Domperidone
1-An experiment on unknown drugs D-1. D-2, D3 and D4 show the following(see tab results)
D-1 low lipid solubiity
D-2 high molecular wieght
D-3 low degree of plasma protein binding
D-4 weak acidity
Which of the following is most likely to be excreted in breast milk?
D-3
4. 4
18-What dilate cervix during labor ?
Oxytocin
133- Pregnant woman in hospital for delivery dr want to induce uterine contractions so he gives her intravaginal tablets of ?
Dinoprostone
Q- Pregnant woman giving birth what do we give her to dilate cervix?
misoprostol if there was no oxytocin (Another option that dilate cervix is Dinoprostone )
31) which of the following medications promotes ripening and dilation of the cervix during labor?
Misoprostol
53-misoprostol is .............................
category X
61- Which of the following statements best describe oxytocin?
uterine hyperstimulation is an associated adverse effect
49-a postmenopausal old woman suffering from facial flushing and vaginal drying She has done hysterectomy procedure . which drug of the
following should she use ?
estrogen
50-drugs act as antiestrogen ?
Clomiphene, tamoxifen., raloxifen, anastrazol, letrozol
56- A women takes estrogen and she made hysterectomy should take?
Hydroxyprogestrone
472 . A women suffering from facial flushing and vaginal dry what is the best drug for her?
Estrogen
461 Pregnant with DVT ?
Use enoxaparin
Q- Vaccine Contraindication in pregnancy? MMR, all LAIV vaccination
11-The vaccination is contraindicated in pregnancy?
HPV, MMR, BCG, LAIV, Varicella and ZVL
2. Vaccines in pregnancy?
Tdap vaccine and flu shot (inactivated live influenza)
60. What type of vaccine that given to pregnant women ?
Tdap
56. Influenza vaccine in pregnancy is?
Safe (IV) Inactivated influenza
48. Pregnant woman have hepatitis B when deliver we must give for baby?
Hepatitis B vaccine with immunoglobulin hepatitis.
Q- Pregnancy receives one Tdap dose any trimester of pregnancy ?
Third trimester
60- A woman is pregnant in her third trimester. Which of the following vaccines can LA receive?
Influenza
8-A 33-year-old is woman with history of migraine and hypothyroidism. She is a nurse with one son and she is currently 15-weeks pregnant. She is
considered about vaccinations and seeks your advice.
Which of the following vaccines is contraindicated?
MMR (measles, mumps, and rubella)
90- Which of the following vaccines is contraindicated in pregnant woman?
BCG vaccine
48) Which of the following vaccines is contraindicated in a pregnant women?
A)Polio vaccine تقدر B)Influenza (inactivated) vaccine تقدر
C)Measles ,Mumps ,Rubella (MMR)√ تقدر ماD)Tetanus ,diphtheria ,Pertussis(T dap) تقدر
95- A new born baby is about to get discharged with his mother. Which of the following vaccines is indicated?
Hepatitis B vaccine مكرر
55- Which of the following vaccines is recommended within the first twelve hours of birth?
Hepatitis B
56- Which of the following vaccines is recommended to be given at birth in Saudi Arabia?
Hepatitis B vaccine
70- Which of the following vaccinations needs to be proofed for persons working in a healthcare setting?
Hepatitis B
Q- women has uterus cancer she refused chemotherapy because it cause hair fall, she also refused to take out her uterus because she want to
get pregnant ?
Explain the risk and benefit and let her decide
5. 5
925 Pregnant woman with staph. Aureus infection but has penicillin allergy the drug of choice
Vancomycin
98- A 28-year-old pregnant female in labor is admitted to the hospital. She tested positive for Group B streptococcus colonization at her 36 week
appointment. She has a penicillin allergy and her culture are resistant to both clindamycin and erythromycin.
What is the recommended treatment for this patient?
Vancomycin
18-what is the recommended prophylactic therapy for pregnant women colonized with group B streptococcus in labor with penicillin allergies at high
risk for anaphylaxis?
A. Cefazoline B. Linezolid C. Penicillin G D. Clindamycin
53- Which of the following is an important counseling point for woman starting on fingolimod?
A. Use effective contraception to avoid pregnancy during and 2 months after discontinuing treatment
927 DOC(Drug of choice ) for pregnant woman her examination show streptococcus infection :
Ampicillin
Q- TTT of pregnant with UTI ? amoxicillin • nitrofurantoin • cephalexin
84. Erythromycin is macrolide class act mainly
gm + ve and is safe in pregnancy
15. Erythromycin effect on contraception pills? No effect
58. when taking oral contraceptive with erythromycin ?
the erythromycin decrease contraceptive effect
52-A pregnant women senstive to amoxicillin which is the Drug Of Choice for her disease ... what will be the suitable altrenative anti-biotic
for her ?
Erythromycin
51-Pregnant woman with G6PD deficiency has G-ve. M.o. and UTI, which is the drug of choice to treat her UTI:
Cefuroxime
32-Pregnant woman has UTI (Urinary Tract Infection) which is the drug of choice to treat her UTI ?
Nitrofurantoin
18 - What is best antibiotics for Pregnant has UTI?
Used to be: ampicillin Recently research says : Nitrofurantoin (Macrodantin)
Q- Pregnant women have UTI can treat with ? cefuroxime
6.Pregnant woman has candida albicans so ttt ?
Clotrimazole
78. Pregnant woman has vaginal discharge and has Candida albicans .what's the drug of choice?
Clotrimazole
79. Treatment of Pregnant with vaginal candida?
Clotrimazole
2.Antibiotic in pregnancy?
Penicillins, including amoxicillin, ampicillin.
Cephalosporins, including cefaclor, cephalexin.
Erythromycin.
Clindamycin
25) According to the FDA categories of the drug safety during pregnancy Amoxicillin is under category B
What does that mean ?
A)No adequate animal or human studies have been conducted ..C
B)Controlled human studies show no fetal risks from amoxicillin ..A
C)Evidence of human fetal risk exists ,but benefits may outweight ..D
D)Animal studies show no risk to the fetus and no controlled human studies ..B
61-HIV medication for pregnant ?
Zidovudine
Misoprostol & ciprofloxacin & methyldopa should be avoided in pregnancy
Erythroped is :against G+ cocci, is microlide, used in pregnancy, ⬆ GIT motility
Cytotec is for: - gastric & dudenal ulcer - contraindicated in pregnancy
62-All of these Vaccine are contraindicated in pregnancy except? --------------
5-When take Warfarin make teratogenic in ?---------------
7-Which drug contraindicated in pregnancy ? --------------
8-Pregnant women with schizophrenia ? ------------
6. 6
Q- Pregnant with asthma TTT by:
Q- ACI contraindication in which statement?
Pregnancy, in history of angioedema, bilateral artery stenosis
Q- Pregnant women with schizophrenia
olanzapine, risperidone, and quetiapine;
Q- DOC breastfeeding with seizure ? Levetiracetam
Q- DOC pregnant with seizure ? lamotrigine
Q- A woman who is not pregnant and plans to become pregnant, what is the best medicine for her epilepsy?
Lamotrigine, levetiracetam
Q- Drug of seizure for lactating woman ? LAMOTRIGINE
43- WOMEN TAKE valproic acid AND PLAN TO BE PREGNANT KEEP IT ON OR CHANGE ? Change it
Q- SSRI are generally ? option during pregnancy
CHILD
51-What is the age range of a neonate?
Birth to one month
643 -Passive immunization of infants against lower respiratory tract infections
Palivizumab
Q- New born has bleeding what do we give him? Phytonadione (vit k)
606- Which drug contraindicated in children
Doxycycline
607 -Which drug make teeth discoloration
Doxycycline
71-A pregnant woman is travelling to a high risk malarialcontry which antimalarial prophylactic agent caries the most fetal risk in pregnant women?
Doxycycline
(44) A 4-week infant is diagnosed with patient ductus arteriosus. The doctor wants to avoid performing surgery.
Which drug will be administered to avoid a surgical closure?
indomethacin
(41) Which of the following infections is prevented with the administration of 0.5% erythromycin eye ointment in newly born infants?
chlamydial Infection
(18) Which of the following medications can cause hemolytic anemia in the newborn when used by a pregnant woman at full term?
nitrofurantoin
301- Finasteride what cause to pregnancy if use ? البروستات لسرطان علاج هو
Competitively inhibits type II 5-alpha reductase, CATEGORY X
1) Abnormalities of external male genitalia 2)negatively impact fetal development.
Q- Finasteride with pregnant women ? genital teratogenic
83- Which of the following fetal adverse effects are seen with the use of finasteride during pregnancy?
genital abnormality
N.B:-finasteride is 5-alpha reductase inhibitor and used in ttt of benign prostatic hyperplasia(BPH)
Q- Which anti-hypertensive is most risk for child in breastfeeding?
Atenolol
43) A 37-year-old mother breastfeeding her child has developed consistent high blood preassure. The physician consults the pharmacy to
recommend an antihypertensive to control her blood pressure
Which of the following anti-hypertensive is most hazardous for the child?
Atenolol
