FOM 7.2.1 Flashcards
What is patient Amanda Lopez worried about?
Having a child with spina bifida
What is the typical time period b/t stopping contraceptives and being able to conceive a child?
This varies. Anywhere b/t 1 month to a year depending on the form of contraception.
When, assuming the standard 28-day menstruation cycle, does ovulation typically occur?
Around day 14
Untreated STI’s can lead to what condition?
Pelvic Inflammatory Dz (PID)
What aspect of embryologic development is abnormal in spina bifida.
Closure of the caudal neuropore (day 28)
Three variations of spina bifida.
Occulta: no herniation (tuft of hair) Meningocele: herniation Myleomeningocele: herniation w/ spinal cord involvement
What common maternal supplement is used to prevent spina bifida? What vitamin is it a derivative of?
Folic Acid, B9
Describe the effect of the genetic component of spina bifida on likelihood of future children of mother to have spina bifida.
Modest, ~5% increase
A 32-year-old woman whose pregnancy was uncomplicated gives birth at term. A newborn physical examination shows a small lower lumbar skin dimple with a protruding tuft of hair. A radiograph shows that the underlying L4 vertebra has lack of closure of the posterior arches. What is the most likely diagnosis? A. Arnold-Chiari malformation B. Dandy-Walker malformation C. Meningomyelocele D. Spina bifida occulta E. Tuberous sclerosis
D
A woman lives in a food desert in rural Kansas; her hometown food options are a Pizza Hut and a Casey’s General Store. The woman and her husband plan to have a baby in the near future. They are aware that their diet is not ideal, so the woman takes extra prenatal supplements to compensate. What is the major problem with this? A) Although the vitamins help supplement her diet, they are very expensive and the cost builds up over time. B) Although the mother will be able to contribute to the fetus, once the baby is born it will have a poor diet. C) The woman could overdose on the vitamins and have symptoms of abdominal pain, vomiting, and diarrhea. D) The woman will still have a deficiency in caloric intake even though she is taking supplements. E) Increasing the amount of prenatal supplements, specifically folic acid, could cause birth defects such as spina bifida.
C
During one of their prenatal visits, Dr. and Mrs. Fauntes expressed their desire to have a “natural” delivery. Mrs. Fauntes’s physician schedules her for an emergency C-section because the baby’s heart rate was dropping. Upon arrival at the hospital, her husband is livid because he believes you, the physician, coerced his wife into undergoing a cesarean. He also doubts your expertise since you couldn’t recall the alterations in estrogen receptor-transcriptional co-regulator binding caused by tamoxifen. On what grounds is Mrs. Fauntes’ physician justified? A.) Beneficence B.) Informed Consent C.) Respect for patient autonomy D.) Maleficence E.) Medical Battery
A
Answer the question in the image.
E
