Abnormal delivery

Question 1

Duchenne/Erb’s Palsy effects what nerve roots?

Answer 1

C5-6

Question 2

Duchenne/Erb’s Palsy effects what muscles?

Answer 2

Deltoid, Infraspinatus, Flexor (all paralyzed

Question 3

Klumpke palsy effects what nerve roots?

Answer 3

C8-T1

Question 4

Klumpke palsy effects what muscles?

Answer 4

Hand muscles

Question 5

Which is more common duchenn/Erb’s palsy or Klumpke palsy?

Answer 5

Duchenne/Erb’s palsy

Question 6

What percentage of infants with a brachial plexus injury are left with significant residual effects

Answer 6

15% (otherwise they resolved)

Question 7

Risks of vacuum use

Answer 7

Scalp laceration
Cephalohematoma
Subgleal hematoma
Intracranial hemorrhage
Retinal hemorrhage
Hyperbilirubanemia
Clavicular fx
Shoulder dystocia
Injury of cranial nerves 6-7
Erb's palsy
Fetal death

Question 8

Most common injury associated w use of vacuum

Answer 8

Hyperbilirubanemia (due to increased risk of cephalohematoma)

Question 9

What is the rate of scalp laceration associated w the use of vacuum in delivery?

Answer 9

33%

Question 10

What is the rate of cephalohematoma associated w the use of vacuum in delivery?

Answer 10

16%

Question 11

What is the rate of subgleal hematoma associated w the use of vacuum in delivery?

Answer 11

3%

Question 12

What is the most lethal risk associated with vacuum use during delivery?

Answer 12

Subgleal hematoma

Question 13

What is the rate of cesarean sections in the US?

Answer 13

25-27%

Question 14

What is the most common indication for cesarean section in the US?

Answer 14

Repeat CS (9% of all births)

Question 15

What is the most common indication for primary cesarean section in the US?

Answer 15

Dystocia (7% of all births)

Question 16

What is the third and fourth most common indications for cesarean sections in the US?

Answer 16

#3 = breech at 3% of all births
#4 = fetal well being at 2%
#5 = "other" at 3%

Question 17

Acquired or inherited thrombophilia? SLE

Answer 17

Acquired

Question 18

Acquired or inherited thrombophilia? APS

Answer 18

Aquired

Question 19

Acquired or inherited thrombophilia? Anticardiolipin

Answer 19

Acquired

Question 20

Acquired or inherited thrombophilia? Paroxysmal nocturnal hemoglobinuria

Answer 20

Acquired

Question 21

Acquired or inherited thrombophilia? Prothrombin G (20210A)

Answer 21

Inherited

Question 22

Acquired or inherited thrombophilia? Protein C/S

Answer 22

Inherited

Question 23

Acquired or inherited thrombophilia? Antithrombin 3

Answer 23

Inherited

Question 24

Acquired or inherited thrombophilia? Hyperhomocysteinemia

Answer 24

Inherited

Question 25

Acquired or inherited thrombophilia? Factor V Leiden (homo and heterozygous)

Answer 25

Inherited

Question 26

Word association - Blueberry muffin

Answer 26

Cytomegalovirus infected baby

Question 27

Word association - Lemon sign

Answer 27

Sides of forehead pulled in 2/2 pull of cisternia magna from spina bifida that distorts the intracranial contents

Question 28

Word association - Strawberry cervix

Answer 28

Infection of the cervix by trichomonas

Question 29

Word association - Banana sign

Answer 29

Arnold chiari malformation (cerebellar vernus, fourth ventricle, medular oblongata, hydrocephalus)

Usually indicating herniation through cisternia magna

Question 30

Word association - currant jelly stools

Answer 30

Intussusception of the bowels

Question 31

Cerebral palsy is associated with

Answer 31

Low APGAR scores (0-3 at 10min)

Low birth wt (500-1500g)

Hypoxia (pH <7)

Chorioamnionitis

Periventricular leukomalacia

Question 32

1 Gray (Gy) = ____ mGy

Answer 32

1,000

Question 33

1 Gray = ____ Rads

Answer 33

100

Question 34

1 Rad = ____ Gy (Grey)

Answer 34

.01

Question 35

1 Rad = __mGy

Answer 35

10

Question 36

1 mGy = ___ Rad

Answer 36

0.1

Question 37

1 mGy = __ Gy

Answer 37

.001

Question 38

Radiation values in order

Answer 38

Gray > Rad > mGy