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[{"id":408074,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 07:31:48","updated_at":"2018-03-14 08:41:25","questionName":"With concerns of placental abruption, clinical diagnosis is mostly through which method?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":2,"explanation":"Slide 21\/22 Remember that Fibrinogen is used in the diagnosis of Maternal DIC with placental abruption the rest of the answer choices will be helpful but still not definitive ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408072,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 07:17:10","updated_at":"2018-03-14 08:41:25","questionName":"In the management of Placenta Previa, administration of Rhogam should always be done if there is a bleeding episode regardless of delivery for what kind of patient ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":1,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408070,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 06:42:56","updated_at":"2018-03-14 08:41:25","questionName":"a woman in her second trimester comes to your clinic complaining of severe uterine pain but no bleeding lab results are significant for fibrinogen levels of 100 mg\/deciliters this kind of presentation is associated with what?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":6,"explanation":"According to slide 17 this is a atypical presentation of placental abruption that shows a severe uterine pain uterine technique but no bleeding due to concealed bleed","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408290,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 14:54:51","updated_at":"2018-03-14 14:54:51","questionName":"A nulliparous women with a past history of infertility, Hypertension, Diabetes, smoking now in her third trimester presents prior to delivery with frank red blood and a positive Apt Test. What was the most likely risk factor for the cause of this bleeding ?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"The Patient is presenting with Vasa Previa, that have Risk factors that include \u2022Second trimester low-lying placenta \u2022Multiple pregnancies \u2022Pregnancies resulting from IVF \u2022Bi-lobate or succenturiate lobed placenta","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408076,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 07:55:36","updated_at":"2018-03-14 08:41:25","questionName":"In the management of placental abruption, complications during and after delivery such as couvelaire uterus may be a concern due to? ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":4,"explanation":"Couvelaire uterus - the uterine serosa becomes blue or purple in color from retro-placental blood that penetrates the myometrium","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408068,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 06:10:38","updated_at":"2018-03-14 08:41:25","questionName":"A new pregnant patient In her third trimester comes to your office complaining of cervical tenderness and bleeding what is the first the thing that you should do?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":7,"explanation":"According to Dr. Patel slide 11 you start with vital signs to check for significant blood loss","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408075,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 07:46:51","updated_at":"2018-03-14 08:41:25","questionName":"The most common cause of coagulopathy in pregnancy is? ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":3,"explanation":"Slide 22","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408291,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 15:18:50","updated_at":"2018-03-14 15:18:50","questionName":" the most common cause of uterine rupture would be which of the following","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Slide 29 indicates that most cases occur at the site of previous C-section scar with the most common being a previous classical C-section","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408069,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 06:41:09","updated_at":"2018-03-14 08:41:25","questionName":"With the incidence of second and third trimester bleeding significant bleeding can be catastrophic due to what percentage of cardiac output being shunted to the pregnant mother's uterus?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":5,"explanation":"t term a woman's total blood volume increases by 40% and with cardiac output that increases by 30%, from this 20% of this cardiac output is. shunted to the pregnant uterus so significant bleeding can be catastrophic","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":408071,"quiz_id":"20649","answer_id":null,"answerType_id":"0","created_at":"2018-03-14 07:02:29","updated_at":"2018-03-14 08:41:25","questionName":"A women with third trimester bleeding comes in for evaluation what should you avoid doing if you donot know where the placenta is located? ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":0,"explanation":"You must know the position of the placenta in order to avoid rupture or premature detachment if up against Cervical OS","question_score_id":null,"lang":null,"questionAudioPath":null}]