FCPS OBG Part 2 Written – Epilepsy in pregnancy

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Question 1 of 5

1. Question
1. You are following up a 22-week pregnant woman in the antenatal clinic. Her epileptic fits are well controlled on medications. What is the most common cause of maternal death secondary to epilepsy?
- A. Accident.
- B. Antiepileptic drug toxicity.
- C. Aspiration secondary to seizure.
- D. Head injury secondary to trauma.
- E. Sudden unexpected death in pregnancy (SUDEP).
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Question 2 of 5

2. Question
2. What advice would you give her?
- A. Avoid breastfeeding if possible.
- B. Administer 1 mg intravenous vitamin K to the neonate
- C. Consider breastfeeding prior to taking the lamotrigine dose.
- D. Stop her antiepileptic medication.
- E. Stop lamotrigine and commence carbamazepine.
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Question 3 of 5

3. Question
3. A 24 year old women with epilepsy is seen at her booking visit. She is concerned the labour may provoke a fit. What is the risk of a tonicclonic seizure during the labour and the 24 hours after birth?
- A. 0.5%
- B. 1‐4%
- C. 6‐8%
- D. 10‐15%
- E. 14‐18%
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Question 4 of 5

4. Question
4. A woman with a BMI of 40 whose epilepsy is well controlled on anti-epileptic drugs (AEDs) attends for a booking appointment with the community midwife at 10 weeks gestation. Which combination of vitamin supplements should she be advised to take?
- A. Folic acid 400 mcg and vitamin D 10mcg
- B. Folic acid 400 mcg and vitamin K 10mg
- C. Folic acid 5mg and vitamin
- D. Folic acid 5mg and vitamin D 10mcg
- E. Vitamin D 10 mcg and vitamin C 70mg
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Question 5 of 5

5. Question
5. Which of following is not effective in reducing risk of congenital abnormalities in women with epilepsy?
- A. Daily 5 mg folic acid starting from preconception
- B. Using lowest effective dose of the most appropriate AEDS
- C. Using polytherapy
- D. Monotherapy is preferred
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