additional Flashcards

Question

Where to put the doppler for PR interval

Answer 1

accoss MV and LVOT A wave- atrial contracting PR- beginning of atrial contraction to beginning of ventricular contraction (how well is the AV node working )

Answer 2

arrythmia noted with doppler acultate weekly 1st degree does not always progress 2nd degree often progresses but may revert complete heart block is permanent and not reversible steroids have some risks and benefit is unclear

Answer 3

prolonged PR and occasional dropped beats

Answer 4

weekly hydrops checks and twice weekly bpp

Answer 5

``` empty bladder clean probe insert towards anterior fornix saggital view remove until blurred and than reinsert cervix should be 2/3 of the screen internal and external os should be visualized take 3 measurements and use the best shortest ```

Answer 6

PTL with a CL 20-30 mm 22-35 weeks | - consider ffn for PPROM

Answer 7

``` wet mount GC swab GBS UDS UA ```

Answer 8

clinda if it's sensitive | - consider penicillin allergy testing

Answer 9

yes if there are risk factors for GBS sepsis (preterm , prolonged rom, fever)

Answer 10

non-uticarial rash symptoms that are not consistent with an allergy puritis without rash reports history of allergy but unsure what happened

Answer 11

penicillin 5 m and 3 mil every 4 hours ancef 2 gm than 1 gm every 8 hr clinda 900 mg every 8 hours vanco 30 mg/kg q 8 hours with max 2 gm

Answer 12

vaginal 3.8-4.2 | amniotic fluid 7

Answer 13

alpha microglobulin-1 | (false positive up to 30%

Answer 14

1 ml in 9 ml | - remove tampon 30 minutes later.

Answer 15

``` phenobarbital carbamazepine phenytoin topiramate oxycarbazepine ```

Answer 16

Phenytoin iugr, microcephaly, cardiac defect, hypoplastic nails, craniofacial abnormalities - 30 affected, full syndrome in 15%

Answer 17

``` 4 p's parents use drugs partner use drug prior difficultly with drugs present drug use ```

Answer 18

STD evaluation | echocardiogram

Answer 19

ppx- one prior unprovoked VTE, high risk thrombophilia | theraputic- high risk thrombophilia with one prior VTE or 2 prior VTE

Answer 20

if homozygote neonatal purpur fulminans- requires life long anticoagulation

Answer 21

SVE regularly at 26 wks Inpatient at 32 weeks use non-absorbable sutures and remove

Answer 22

ptb autonomic dysreflexia - hypertension/bradycardia/headache/ congestion/rubor/sweating treat with atropine/clonidine prevent with epidural

Answer 23

abnormal t cell regulation - antibodies to acetylcholine receptor - no mag - neonatal myasthenia - resolves in 6 weeks

Answer 24

preterm- decreased need for blood transfusion/anemia, decreased NEC and IVH

Answer 25

Honestly, since the most recent FGR recommendations which stratifies FGR further into severe and non-severe and clearly reviewed the current MCA literature, we have stopped doing MCA Doppler’s. However, prior to the most recent FGR document we were using CPR to risk stratify FGR due to a number of poor outcomes we had seen in term FGR fetuses at altitude. We had decided to use CPR to help with risk stratification as there had been a growing body of literature on CPR's in the 2000's, some of which indicated that it might correlate with adverse outcomes better than just the uterine artery Doppler alone. We were simply trying to risk stratify, which we now do as per the subsequent recommendations.

Answer 26

CFTR mutations

Answer 27

- this deletion was smaller so unclear if this phenotype would occur. 8q22. 1 Deletion. The phenotype of this deletion issimilar to that of the Nablus mask syndrome, symptoms in-clude ID, speech disorder and typical dysmorphic features.The deletion is approximately 1.6 Mb

Answer 28

microcephaly, developmental delay, dysmorphic features and hearing loss, whereas two of them had agenesis of the corpus callosum. Dysmorphic features include midface hypoplasia, hypertelorism, broad nasal root and posteriorly rotated ears.

Answer 29

moderate developmental delay, abnormal craniofacial features and ventricular septal defect

Answer 30

A1 <28 week 4-7 mm >28 weeks 7-10 mm A2-3 <28 weeks >7mm >28 weeks >10 mm - upgraded due to peripheral calyceal dilation or abnormal echogenic renal parenchyma >15 does not have it's own name but has worse prognosis Mild hydronephrosis – Surgical intervention performed 10 percent •Moderate hydronephrosis – Surgical intervention performed in 24 percent •Severe hydronephrosis – Surgical intervention performed 63 percent At 20 months hydronephrosis persisted in 10, 25, and 72 percent of patients with mild, moderate, and severe fetal hydronephrosis, respectively Society of Fetal Urology- 4 levels ( same as above with 2/3 based on the number of calyces and 4 being cortical thinning