Question 141 (part 2) · LEK · Venous thromboembolism
Which of the following are true about pulmonary embolism in pregnancy:
1) in Western countries it is the most common cause of maternal death in pregnancy;
2) the clinical symptoms include, for example: dyspnoea, pleural pain and haemoptysis;
3) venous thromboembolism (VTE) may affect even 1 in 1,000 pregnant women;
4) the preconception risk factors include, for example: a previous VTE episode, obesity and maternal age > 35 y.o.
5) immobilisation for more than 3 days and journeys lasting more than 4 hours are risk factors.
The correct answer is:
2) the clinical symptoms include, for example: dyspnoea, pleural pain and haemoptysis;
3) venous thromboembolism (VTE) may affect even 1 in 1,000 pregnant women;
4) the preconception risk factors include, for example: a previous VTE episode, obesity and maternal age > 35 y.o.
5) immobilisation for more than 3 days and journeys lasting more than 4 hours are risk factors.
The correct answer is:
- A. 1,2.
- B. 1,2,3.
- C. all the above.
- D. 2,4,5.
- E. 1,3,4.
Hint
Review the epidemiology of pregnancy-related VTE and the lists of pre-existing and transient risk factors used in RCOG guidance.
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