Beckman Embryo/anatomy

Question 1

ovaries, fallopian tubes, uterus, and upper vagina are derived from:

Answer 1

intermediate mesoderm

Question 2

Effects of uncontrolled diabetes during organogenesis

Answer 2

Increased growth
Polyuria
Placentomegaly
Polyhydramnios

*Spine and heart = most common sites affected

Question 3

Hypothyroid increases risk for

Answer 3

miscarriage

Question 4

risks after twin-twin transfusion

Answer 4

Surviving infants have increased rates of neurological morbidity, esp cerebral palsy

Question 5

Withered, meconium stained, long-nailed, fragile and ass. with small placenta

Answer 5

Fetal dysmaturity (10% risk when gestational age exceeds 43 weeks)

Question 6

Progesterone level of _____ suggests abnormal or extrauterine pregnancy

Answer 6

<5

Question 7

Appropriate management for abnormal intrauterine pregnancy (presence of yolk sac but low progesterone and hcg)

Answer 7

Expectant management is first, other options = misoprostol, manual vacuum aspiration, or D and C.

(laparoscopy and methotrexate not indicated)

Question 8

Why does milk production increase after pregnancy?

Answer 8

Inhibitory actions of estrogen and progesterone are lifted

Question 9

managementto prevent meconium aspiration syndrome:

Answer 9

Its present in up to 20%. If infant is depressed, intubate and suction from beneath glottis. But if strong resp efforts (“vigorous”), tracheal suction not necessary

Question 10

Growth restricted pregnancy

Answer 10

freq due to oligohydramnios. chronic hypoxia diverts blood flow from kidney to organs that are more critical during fetal life. do NST and amniotic fluid volume

Question 11

intermediate mesoderm froms ______ _____ in the 4th week of dev

Answer 11

urogenital ridges

Question 12

Wnt4 = ____ _____ gene

Answer 12

ovary determining

Question 13

Gonads become structurally male or female by ___ week; external genitalia by the ____ week

Answer 13

7th

12th

Question 14

CAH = ambiguous genitalia in female due to decrease of ____ leading to increase of ____

Answer 14

cortisol; androgens (compensatory increase)

Question 15

mesonephric (wolffian) ducts form

Answer 15

epididymis, ductus defers, and ejaculatory ducts in males. gone in females

Question 16

paramesonephric (mullerian) ducts form

Answer 16

fallopian tubes, uterus, upper vagina