Fetus 2 Flashcards

1
Q

Uses of USG during pregnancy.

A

To diff btw Ectopic, Intrauterine and Twin pregnancy

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2
Q

High freq USG provides.?

A

Better Resolution

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3
Q

Low Freq USG .?

A

Better Penetration.

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4
Q

ALARA principle.?

A

As Low As Reasonably Advised.

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5
Q

Limit of USG freq in preg.

1) Low Preg
2) Late 1st and 2nd trimester
3) 3 rd trimester.

A

1) 5-10
2) 4-6
3) 2-5

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6
Q

Routine USG which Mode.?

A

B mode.

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7
Q

Which USG mode to check Cardiac activity.?

A

M mode

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8
Q

Gestational Sac seen in TVS @ and TAS @

A

TVS @ 4 wks and TAS @ 5 wks.

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9
Q

Yolk Sac seen in TVS @ and TAS @

A

TVS @ 5 wks

TAS @ 5.5 wks

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10
Q

Cardiac activity is seen in TVS and TAS @

A

TVS @ 5-6 wks

TAS @ 6-7 wks

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11
Q

1st Sign of Pregnancy on USG

A

Gestational Sac

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12
Q

1st sign of IU pregnancy on USG

A

Yolk Sac.

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13
Q

Most important use of USG

A

Detecting Congenital malformations.

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14
Q

Blighted ovum.?

A

Mean sac diameter > 25mm and no fetal tissue or yolk sac and no cardiac activity.

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15
Q

Type 1 USG can detect .?

A

Anencephaly.

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16
Q

Type 2 USG aka.

A

TIFFA - Targeted imaging for fetal anomalies.

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17
Q

When is TIFFA done.?

A

16-20 wks.

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18
Q

best time to detect anencephaly on USG

A

14 weeks.

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19
Q

Signs of anencephaly on USG

A

Frog eye sign and mickey mouse sign

20
Q

Signs of spina bifida on USG

A

Lemon sign and Banana sign.

21
Q

Lemon SIgn.

A

sign of Spina Bifida.

Frontal bone scalloping.

22
Q

Banana sign.

A

Sign of spina bifida.

Elongation and downward displacement of cerebellum.

23
Q

Ventral wall defects.

A

size of ventral wall > 7mm
continues after 12 weeks.
Omphalocele and Gastroschisis.

24
Q

Omphalocele.

A

Herniated bowel covered by sac.

25
Gastroschisis.
Herniated bowel not covered by sac.
26
Dx of placenta previa by USG.?
3rd trimester.
27
MC presentation in anencephaly
Face.
28
Anencephaly is more common in
Female fetuses
29
Macrosomia and RDS more common in
Male fetuses.
30
How to prevent NTS's
Folic acid supplementation
31
Folic acid supplementation prevents.?
NTD, Megaloblastic anemia, IUGR, Abruptio placenta.
32
Prophylactic dose of folic acid is
400mcg / day
33
Therapeutic dose of Folic acid
4mg / day
34
Sickle cell anemia female. Dose of folic acid.?
5mg > 4 mg
35
Dose of folic acid provided by govt of india
500 mcg
36
RDA of folic acid in pregnant female.
500 mcg
37
Screening test for anencephaly
maternal serum AFP.
38
Most sensitive biochemical marker for anencephaly
Acetylcholine esterase
39
Screening test for anencephaly to be done .?
16-18 wks.
40
Diagnostic test for anencephaly.
TIFFA
41
Major source for AFP
Fetal liver.
42
Maternal serum AFP highest at
32 wks
43
inc AFP seen in
NTD, Abdominal wall defect, Pilonidal sinus.
44
Dec AFP seen in
``` Diabetic, GOAT, G- Gest trophoblastic ds. O- maternal obesity and overestimated GA A- Abortion. T- Trisomy 21 ```
45
Main hormone responsible for growth of fetus.
Insulin and insulin like GH