Fetal Growth Disorders, Abortion, Ectopic Flashcards Preview

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Flashcards in Fetal Growth Disorders, Abortion, Ectopic Deck (25):
1

Organ spared from effects of growth restriction

Brain

2

Fetal growth disorder when there is an early insult

Symmetric

3

Banana cerebellum is associated with what disease?

Arnold Chiari malformation

4

Strawberry cranium os associated with what disorder?

Edwards syndrome

5

Most common fetal cause of abortion

Blighted ovum

6

Common infectious cause of abortion in the 2nd trimester

Bacterial vaginosis

7

Nonviable genetically abnormal pregnancy due to an excess expression of paternal genes

Hydatidiform mole

8

What type of H mole occurs when there is generalized swelling of the placental villi with marked trophoblastic proliferation and absent fetal component

Complete H mole

9

This type of H mole occurs when there is 1 maternal and 2 paternal chromosomes and a milder form of trophoblastic invasion

Partial H mole

10

Most accurate non invasive imaging modality in detecting H mole

Ultrasound

11

Ultrasound in H mole will reveal this finding

Grape like or snowstorm like clusters

12

Chemoprophylaxis for H mole

Methotrexate
Actinomycin D

13

Post evacuation HCG monitoring for H mole:

1-2-1-2

1 week after suction curretage
Every 2 weeks until hcg becomes normal for 3 consecutive tests
Every 1 month for the first 6 months
Every 2 months for the next 6 months

14

When is pregnancy allowed after a normal HcG for a patient with previous H mole?

6 months

15

Vaginal bleedinfg, uterine enlargement, acute abdomen, rise in HCG levels for 2 determinations or persistently elevated levels for 6 months or more

Gestational Trophoblastic Neoplasia

16

GTN stage where it extends outside the uterus but confined to pelvic organs

Stage 2

17

GTN stage where there is pulmonary metastasis

Stage 3

18

Treatment for stage 1 GTN

Single agent- Methotrexate or actinomycin D

19

Treatment for all other stages of GTN

EMACO with or winning hysterectomy

Etoposide
Methotrexate
Actinomycin D
Cyclophosphamide
Vincristine

20

Infectious cause of ectopic pregnancy

Chlamydia trachomatis

21

Most catastrophic site of ectopic pregnancy

Decidua
(Intersitial)

22

Gold standard for the diagnosis and treatment of tubal pregnancy

Laparoscopy

23

Medical management for tubal pregnancy

Methotrexate

24

Indications for methotrexate therapy in tubal pregnancy

Pregancy < 6 weeks
Tubal mass <3.5 cm
No cardiac activity
HCG <10-15k mIU/ml

25

Is breastfeeding contraindicated when taking methotrexate?

Yes