Indications for Fetal Echo

Question 1

Maternal Indications for a fetal echo

Answer 1

-Autoimmune Disease, +anti-ro (SSA) antibodies
(Lupus, Sjogrens Syndrome)
-Family Inherited Disease
-In vitro fertilization
-Metabolic disease (diabetes/ phenylketonuria-PKU)
-Teratogen exposure

Question 2

What common CHD is associated with Lupus or Sjogrens Syndrome

Answer 2

-Complete Heart Block- CHB
-Constricted DA

Question 3

what family inherited disease is represented by 22q11 deletion

Answer 3

DiGeorge Syndrome

Question 4

What common CHD is associated with Diabetes or PKU

Answer 4

-TGA
-TOF
-TA
-Hypertrophic Cardiomyopathy
-heterotaxy

Question 5

What are fetal indications for a fetal echocardiogram

Answer 5

-Abnormal OB ultrasound exam
-first degree relative of a fetus with CHD
-Abnormal heart rate or rhythm
-fetal chromosomal abnormality
-extracardiac anomaly
-hydrops
-increased nuchal translucency >3.5mm
-Mono chorionic twins (TTTS)

Question 6

What is a first degree relative of the fetus that may be an indication for a fetal echo

Answer 6

affected sibling
mother of the fetus
father of the fetus

Question 7

DiGeorge syndrome may result in which type of CHD

Answer 7

-Conotruncal defects- Aorta or Pulmonary Artery
-VSD

Question 8

Noonan syndrome may result in which type of CHD

Answer 8

Pulmonary stenosis
-hyoertrophic cardiomyopathy

Question 9

William syndrome may result in which type of CHD

Answer 9

VSD
-Aortic stenosis
Pulmonary stenosis

Question 10

Trisomy 21 may result in which type of CHD

Answer 10

AVSD-most common
VSD
ASD
TOF-most common

Question 11

Trisomy 18 may result in which type of CHD (Edward Syndrome)

Answer 11

VSD
ASD
TOF
DORV
Coarctation

Question 12

Trisomy 13 may result in which type of CHD (Patau syndrome)

Answer 12

VSD
ASD
HLHS
Coarctation

Question 13

Turner syndrome may result in which type of CHD

Answer 13

Coarctation
Bicuspid AV
Aortic stenosis
HLHS

Question 14

Holt Oram syndrome may result in which type of CHD

Answer 14

ASD
VSD

Question 15

Common teratogens associated with CHD

Answer 15

Alcohol
Amphetamine
anticonvulsant
indomethacin
ACE inhibitors
Antidepressents
Lithium

Question 16

What common teratogen is associated with Ebstein anomaly. tricuspid atresia, ASD, and Mitral atresia

Answer 16

Lithium