ലിം acids are cleared incompletely and accumulate in plasma but the cause is unclear
B:-pruritus shows predilection for the soles and may precede laboratory findings by several weeks
C=total plasma concentrations of bilirubin exceed 8 mg/dl and serum transaminases exceed 500 in 30% patients
D:-ursodeoxycholic acid relieves pruritus and improves fetal outcome better than steroids and cholestyramine
Correct Answer: Option-C
Question91:-All the statements about sickle cell anaemia in pregnancy are TRUE EXCEPT
‘AcSickle-cell trait does not appear to be associated with increased perinatal mortality, low birthweight or pregnancy-induced hypertension
8:17 Sickle cell disease there is no categorical contraindication to vaginal delivery, and caesarean delivery is reserved for obstetrical indications
C=Routine prophylactic blood transfusions during labour is recommended to reduce painful crises in Sickle cell anaemia
D:-Antenatal folic acid supplementation with 4 mg daily throughout pregnancy is needed to support rapid red blood cell turnover
Correct Answer: Option-C
Question92:-All the statements about thrombocytopenia in pregnancy are TRUE EXCEPT
‘AA platelet count of > 80,000/L should trigger an evaluation for etiologies other than gestational thrombocytopenia
B:-Hypertensive disorders account for 21% of thrombocytopenia in pregnancy
‏صلی‎ ITP complicating pregnancy, therapy with steroids is considered if the platelet count is below 30,000 to 50,000/L
D-Maternal platelet counts have strong correlation with fetal platelet counts and caesarean delivery is recommended if platelet count is 50,000 on fetal blood sampling
Correct Answer:- Option-D
Question93:-All the following statements regarding diabetes in pregnancy are TRUE EXCEPT
‘A: Periconceptional HBALC should be kept under 6.5% in pregestational diabetic women
B:-MSAFP levels may be lower in diabetic pregnancies and the incidence of congenital cardiac anomalies is five fold in mothers with diabetes
ര short acting insulin analogues starts acting in 30 minutes, peaks in 2 hrs minutes and is good for preprandial glycemic control in pregnancy
Di-Insulin therapy is typically added if fasting levels persistently exceed 95 mg/dl after medical nutrition therapy
Correct Answer: Option-C
Question94:-All the statements about thyroid in pregnancy are TRUE EXCEPT
‘A: Women with TPO antibodies are at increased risk for progression of thyroid disease and postpartum thyroiditis
नि is recommended that women avoid pregnancy for 1 month after radioablative therapy with iodine 131
ಮ is associated with an increased thyroxine requirement in approximately a third of supplemented women
D:-Prophylthiouracil (PTU) is preferred in pregnancy because it partially inhibits the conversion of T4 to 13 and crosses the placenta less readily than methimazole
Correct Answer: Option ®
Question95:-All the statements about SLE in pregnancy are TRUE EXCEPT
കടലി cell micro chimerism leads to the predilection for autoimmune disorders like SLE among women
8:1೧ the presence of anti-Ro and Ant-La antibodies, the incidence of fetal myocarditis and heart block is as high as 20%
‘Curing pregnancy, lupus improves in a third of women, remains unchanged in a third and worsens in the remaining third
D-Hydroxychloroquine is nat associated with congenital malformations and can be continued in pregnancy
Correct Answer: Option ®
Question96:-All are TRUE about antiphospholipid antibody syndrome EXCEPT
‘AcAsherson syndrome is a rapidly progressive thromboembolic disorder due to a cytokine storm seen in antiphospalipid antibody syndrome
B:-Approximately 60 percent of patients with APS have a positive lupus anticoagulant LAC assay alone
C:-Heparin binds to beta 2 glycoprotein | and prevents binding of anticardiolipin andanti-beta 2 glycoprotein | antibodies to the syncytiotrophoblasts,
D-reatment using aspirin, anticoagulation and close monitoring has increased live birth rates to more than 70 percent in women with APS
Correct Answer: Option ®
Question97:-All are TRUE about management of obstetric haemorrhage EXCEPT
കസം most important mechanism of action with internal iliac artery ligation is an 85-percent reduction in pulse pressure in those arteries distal to the ligation
B:-ROTEM or TEG cannot diagnose coagulopathies stemming from platelet dysfunction or anti platelet drugs
(हवती single-donor apheresis six-unit bag raises the platelet count by approximately 5000/L
D:-Dilutional coagulopathy that is clinically indistinguishable from DIC is the most frequent coagulation defect found with blood loss and multiple transfusions
Correct Answer: Option-C
Question98:-All are TRUE about USS features of Placenta Accreta Spectrum (PAS) EXCEPT
‘Acloss of the normal hypoechoicretroplacentalzone between the placenta and uterus

Beplacental vascular lacunae or lakes