Coronary Artery Disease Quiz Coronary Artery Disease Quiz 1. What is the main cause of Coronary Artery Disease (CAD)? a) Bacterial infection b) Viral infection c) Atherosclerosis d) Autoimmune disorder 2. Which of the following is NOT a risk factor for CAD? a) Hypertension b) Obesity c) Regular exercise d) Diabetes 3. What are the typical symptoms of CAD? a) Fever and cough b) Chest pain and discomfort c) Nausea and vomiting d) Dizziness and headache 4. How is CAD diagnosed?
Here are some scenario-based multiple choice questions on Treatment of Amniotic Fluid Embolism (AFE) with answers
What is the primary treatment for amniotic fluid embolism?
a) Administration of antibiotics
b) Oxygen therapy
c) Fluid resuscitation
d) Immediate delivery of the baby
Answer: d) Immediate delivery of the baby
Which medication is commonly used to treat cardiovascular collapse in AFE?
a) Epinephrine
b) Nitroglycerin
c) Phenylephrine
d) Norepinephrine
Answer: d) Norepinephrine
Which surgical intervention may be required in the management of AFE?
a) Hysterectomy
b) Appendectomy
c) Splenectomy
d) None of the above
Answer: a) Hysterectomy
What is the recommended mode of delivery for a patient with suspected AFE?
a) Vaginal delivery
b) Cesarean section
c) Induction of labor
d) Vacuum extraction
Answer: b) Cesarean section
Which of the following is NOT a component of supportive care in the management of AFE?
a) Fluid resuscitation
b) Oxygen therapy
c) Antibiotic therapy
d) Monitoring for coagulopathy
Answer: c) Antibiotic therapy (although antibiotics may be given to prevent secondary infections, they are not part of the primary supportive care for AFE)
Which of the following scenarios is most likely to result in an amniotic fluid embolism?
a) A woman in her third trimester of pregnancy has gestational diabetes.
b) A woman in her second trimester of pregnancy has a history of heart disease.
c) A woman in labor receives an amniotomy (artificial rupture of membranes).
d) A woman who just gave birth has a family history of blood clots.
Answer: c) A woman in labor receiving an amniotomy is at higher risk for AFE, as it can cause a sudden release of amniotic fluid into the maternal circulation.
Which of the following symptoms is most commonly associated with AFE?
a) Seizures
b) Hypertension
c) Hemoptysis
d) Rash
Answer: a) Seizures are the most commonly reported symptom in AFE, occurring in over 80% of cases.
Which of the following interventions is most appropriate in managing AFE?
a) Administering antibiotics
b) Starting anticoagulation therapy
c) Administering corticosteroids
d) Providing supportive care, such as oxygen, fluid resuscitation, and blood transfusion
Answer: d) There is no specific treatment for AFE, so supportive care is the mainstay of management. This includes oxygen therapy, fluid resuscitation, and blood transfusion as needed to stabilize the patient. Antibiotics and anticoagulation therapy may be considered if indicated, but are not routinely recommended.
Which of the following statements is true about the prognosis of AFE?
a) AFE is a self-limiting condition and typically resolves on its own within a few hours.
b) AFE has a high mortality rate, with up to 80% of cases resulting in maternal death.
c) AFE has a high rate of long-term complications, including neurologic deficits and chronic respiratory problems.
d) AFE is associated with a low risk of maternal mortality, but a high risk of fetal death or long-term complications.
Answer: b) AFE is a rare but potentially life-threatening condition, with a reported maternal mortality rate of up to 80%. Fetal mortality rates are also high, ranging from 9% to 44%. Long-term complications for survivors are rare but can include neurologic deficits and chronic respiratory problems.
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