Soal Penyakit Jantung Dalam Kehmilan

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1. What percent of pregnancies are complicated by heart disease? 6.

All EXCEPT which of the following are


a. 0.1% electrocardiogram changes seen in normal
b. 1% pregnancy?
c. 4% a. Increased voltage
d. 8% b. 15-degree left axis deviation
c. Premature atrial contractions
2. Which of the following parameters increases by 40 percent in d. ST segment changes in inferior leads
pregnancy?
a. Heart rate 7. A pregnant woman with preexisting cardiac disease is
b. Cardiac output comfortable at rest but cannot stand up to brush her
c. Mean arterial pressure tceth without experiencing chest pain. What is her
d. Left ventricular stroke work index New York Heart Association classification?
a. I
3. Which aspect of cardiac physiology does not change b. II
in pregnancy? c. III
a. Mean arterial pressure d. IV
b. Pulmonary vascular resistance
c. Left ventricular contractility 8. Excluding those associated wich Marfan s syndrome,
d. Left ventricular stroke work index which congenital heart lesions carry the greatest risk
of heritability?
4. Which of the following is never a normal finding in a. Aortic stenosis
Pregnancy? b. Pulmonary stenosis
a. Dyspnea c. Tetralogy of Fallot
b. Systolic murmur d. Coarctation of the aorta
c. Diastolic murmur
d. Exercise intolerance 9. A pregnant patient at 13 weeks' gestation has known
heart disease. All EXCEPT which of the following
5. When encountered in an obstetrical patient, which are predictive of poor outcomes in pregnancy:
of the following are considered expected variations a. Prior stroke
from the nonpregnant state? b. Cardiac symptoms at rest
a. Larger cardiac silhouete seen on chest radiograph c. Ejection fraction of 30%
b. Tricuspid regurgitation seen during echocardiography d. Mitral valve area of 2.5 cm2
c. Increased left atrial end-diastolic dimensions seen during
echocardiography 10. Which of the following statements is true regarding
d. All of the above antepartum and intrapartum care of patients with
cardiovascular disease?
a. Vaginal delivery is preferred.
b. Spinal blockade is the recommended anesthetic.
c. These patients should avoid pneumococcal vaccination.
d. Invasive monitoring with pulmonary artery catheter is required.

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