M3 FGDSRDRS

Question 1

Three phases of Cell growth

Answer 1

Hyperplasia
Hyperplasia + Hypertrophy
Hypertrophy

Question 2

Hyperplasia + Hypertrophy. What weeks AOG?

Answer 2

Phase of cell growth at 17-32 weeks AOG.

Question 3

Determinants of hyperplasia

Answer 3

Fetal genome

Question 4

Determinants of hypertrophy EXCEPT
A. Environmental
b. Nutritional
c. Hormonal
d. Fetal Genome

Answer 4

D

Question 5

IUGR is best diagnosed

a. first 16 weeks
b. 17-32 weeks
c. after 32 weeks
d. Any time

Answer 5

C

Question 6

True about symmetrical IUGR EXCEPT

a. Reduced head and body size
b. usually occurs due to placental insufficiency from hypertension
c. least likely due to infection
d. Results in decreased cell number and size

Answer 6

B and C

Question 7

True about asymmetrical IUGR

a. reduced head and body size
b. usually occurs in infections
c. due to late pregnancy insult
d. decreased cell number and size

Answer 7

C.

A. reduced body size
B, C late pregnancy insult (placental insufficiency from hypertension)
D. Decreased cell size only

Question 8

The following are risk factors for IUGR EXCEPT

a. constitutionally small mother
b. poor maternal nutrition
c. social deprivation
d. CMV
e. NOTA

Answer 8

E;

Question 9

The ff are risk factors for IUGR EXCEPT

a. Chorioangioma
b. Preeclampsia
c. APS
d. NOTA

Answer 9

D

Question 10

Most common abnormal sonographic finding in IUGR

Answer 10

Abdominal Circumference

Question 11

Prophylaxis in early gestation is done with what medication?

Answer 11

Low dose aspirin (effectively only in 10% cases)

Question 12

What is the management for IUGR >/= 34 weeks with reassuring FHR

Answer 12

Vaginal delivery

Question 13

What is the management for IUGR >/= 34 weeks with nonreassuring FHR

Answer 13

CS

Question 14

What is the management for IUGR <34 weeks

Answer 14

Observation and monitoring until fetal maturity is attained
Qualifications:
-normal fetus
-normal AFI
-normal fetal surveillance
-fetal growth continues

Question 15

Definition of macrosomia

Answer 15

fetus weighing >4,000 (GDM) - >4,500 (nonGDM)

or 4250 ba? verify

Question 16

Least likely to be risk factor for macrosomia

a. Obesity
b. DM type 2
c. Nulliparity
d. Advance maternal age
e. previous macrosomic infant

Answer 16

C. multiparity

Question 17

What is the major concern for trial of labor in macrosomic patients?

Answer 17

Possible shoulder dystocia

Question 18

In the 3 phases of fetal growth, the initial phase of hyperplasia characterized by rapid increase in cell number occurs in the first ___ weeks

Answer 18

6 weeks

Question 19

Second phase of fetal growth extends up to ___ weeks includes both cellular hyperplasia and hypertrophy

Answer 19

32 weeks

Question 20

The third phase of fetal growth occurs after ___ weeks and is characterized by cellular hypertrophy

Answer 20

32 weeks

Question 21

Phase of fetal growth where most fetal fat and glycogen are accumulated

a. Initial phase
b. Second phase
c. Third phase
d. NOTA

Answer 21

C

Question 22

Correspndoing fetal growth at 15 weeks AOG

a. 4g/day
b. 5g/day
c. 10g/day
d. 20g/day

Answer 22

B

Question 23

Correspndoing fetal growth at 24 weeks AOG

a. 5-10g/day
b. 15-20g/day
c. 25-30g/day
d. 30-35g/day

Answer 23

B

Question 24

Correspndoing fetal growth at 34 weeks AOG

a. 20-25g/day
b. 30-35g/day
c. 40-45g/day
d. 45-50g/day

Answer 24

B

Question 25

True about growth restriction a. only given to very low birthweight newborns b. No increase in risk for neonatal mortality c. Symmetrical growth restriction is better than asymmetrical growth restriction d. NOTA

Answer 25

D A. Low birthweight B. Increase risk for neonatal death (especially those with symmetrical growth restriction) C. Symmetrical is worse

Question 26

Give 3 maternal risk factors for SGA fetus

Answer 26

``` Constitutionally small Poor nutrition Eating disorders Poor gestational weight gain Soical deprivation ```

Question 27

True about fetal growth restriction a. Vascular and Renal disease can cause restricted fetal growth b. Pregestational DM can cause fetal growth restriction c. Acquired anemia does not restrict fetal growth d. AOTA

Answer 27

D

Question 28

Some drugs with teratogenic and fetal effects exert—or continue to exert—fetal effects after embryogenesis ends at _____ Examples include anticonvulsants and antineoplastic agents

Answer 28

8 weeks