JDMS Article - SDMS CME Credit

Article: Role of Maternal Uterine Artery Doppler Versus Serum β-hCG During the First Trimester in the Prediction of Preeclampsia and IUGR

Authors: Omar Mohammed, MD, Ahmed Magdy, MD, Ahmed Askalany, MD, Sondos Salem, PhD, Mazen Abdel-Rasheed, PhD, Hany Ghobary, MD, and Sameh Elsayed, MSc

Category: OB/GYN [OB]

Credit: 0.75 SDMS CME Credit

Objectives: After studying the article entitled “Role of Maternal Uterine Artery Doppler Versus Serum β-hCG During the First Trimester in the Prediction of Preeclampsia and IUGR,” you will be able to:

1. Identify the prevalence of preeclampsia

2. Recognize the role of sonography in the prediction of preeclampsia and intrauterine growth restriction

3. Describe uterine artery location

1. More than _____ of pregnant women who may develop preeclampsia and fetal intrauterine growth restriction can be detected during their first trimester using uterine artery Doppler.

2. One-fourth

3. Half

4. Two-thirds

For color Doppler interrogation, the uterine artery was identified at the point where it crossed the:

External iliac artery

Internal iliac artery

Inguinal ligament

Iliac fossa

Preeclampsia accounts for approximately _____ of maternal mortality in developed countries.

1%

3%

7%

15%

Results of this study showed patients with preeclampsia had a significant _______ in the mean uterine resistive and pulsatility indices and a significant __________level of β-hCG at $11-13^{+6}$ weeks.

Decrease, decreased

Decrease, increased

Increase, decreased

Increase, increase

According to Table 2, combined uterine artery Doppler parameters with serum β-hCG levels to detect preeclampsia had a sensitivity of

77.66%

62.1%

81%

90%