Teratogens EC Flashcards

1
Q

Period most susceptible to teratogens.

A

3-8th weeks

Before week 3=all or none defects
After week 8=growth and function affected

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2
Q

ACE inhibitors effect on fetus

A

Renal damage

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3
Q

Alkylating agents effect on fetus

A

Absence of digits, multiple anomalies

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4
Q

Aminoglycosides effect on fetus

A

CN VIII toxicity

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5
Q

Carbamazepine effect on fetus

A
Neural tube defects
Craniofacial defects
Fingernail hypoplasia
Developmental delay
IUGR
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6
Q

Diethylstilbestrol (DES) effect on fetus

A

Vaginal clear cell adenocarcinoma

Congenital Mullerian anomalies

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7
Q

Folate antagonists effect on fetus

A

Neural tube defects

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8
Q

Lithium effect on fetus

A

Ebstein’s anomaly (Atrialized right ventricle)

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9
Q

Phenytoin effect on fetus

A

Fetal hydantoin syndrome; Microcephaly, dysmorphic craniofacial features, hypoplastic nails and distal phalanges, cardiac defects, IUGR, mental retardation

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10
Q

Tetracyclines effect on fetus

A

Discolored teeth/bone problems

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11
Q

Thalidomide effect on fetus

A

Limb defects (“flipper limbs”)

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12
Q

Valproate effect on fetus

A

Inhibition of maternal folate absorption (neural tube defects)

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13
Q

Warfarin effect on fetus

A

Bone deformities
Fetal hemorrhage
Abortion
Ophthalmologic abnormalities

(Use heparin in preg.)

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14
Q

Mental retardation, developmental retardation, microcephaly, holoprosencephaly, facial abnormalities, limb dislocation, and heart/lung fistulas.

A

Fetal alcohol syndrome

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15
Q

Cocaine effect on fetus

A

Abnormal placenta development/Abruption

Fetal addiction

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16
Q

Smoking (nicotine, CO) effect on fetus

A

Preterm labor
Placental problems
IUGR
ADHD

17
Q

Iodide lack or excess effect on fetus

A

Congenital goiter or hypothyroidism (cretinism)

18
Q

Maternal diabetes effect on fetus

A

Caudal regression syndrome (anal atresia to sirenomelia)
Congenital heart defects
Neural tube defects

19
Q

Vitamin A excess effect on fetus

A

Spontaneous abortions
Cleft palate
Cardiac abnormalities

20
Q

X-rays effect on fetus

A

Microcephaly

Mental retardation