2021 qs Flashcards
Most likely fetal effect of placental chorioangioma?
Poly
what is the most common phenotypic feature of turner’s syndrome?
short stature
classic features of turners syndrome
short stature, delayed puberty, webbed neck, shield chest
poor prognosis in TRAP sequence
weight difference <0.7
most common finding in neonatal lupus
SKIN RASH
Marfan syndrome pre pregnancy?
BETA BLOCKER! consider elective repair if >42
type 1 CCAM macrocystic with hydrops treatment
thoracoamniotic shunt!
Microcystic CCAM with hydrops treatment
prenatal corticosteroids
most likely etiology of unilateral pleural effusion?
hydro/chylo thorax
how to treat thyroid storm?
PTU, Iodine (block release), steroids (block T4 to T3)
Rate of transmission HSV with recurrent genital lesion?
1-2%
Rate of transmission of HSV with primary genital lesion?
25-60%
best way to assess GFR/renal fx in pregnancy?
creatinine
What is the risk of recurrence of NAIT
extremely high! 100% if the fetus has the HPA-1a antigen in a sensitized HPA-1a–negative mother.
what diseases are in trial for in utero enzyme replacement?
lysosomal storage disorders: mucopolysach, pompe, gaucher, wolman
next step in treating a pregnancy complicated by aplastic anemia
immunosuppression- high dose corticosteroids
HbA1c 10% what is association with fetal anomaly?
20-25% (so majority are normal)
treatment for aHUS?
anti C5 antibody
treatment for TTP?
Plasmapheresis
differentiate TTP from HELLP?
TTP- FEVER, TTP high LDH/AST ratio
recommended range of gestational weight gain for twins BMI > 30
25-42 lb
recommended GWG for twins BMI 25-30
31-50
when is maximum blood volume reached?
34 weeks
iron transfer to fetus via?
serum transferrin which binds to receptors on placenta, released to ferritin, etc
