Iugr

Question 1

Normal growth rate of fetus

Answer 1

14-15weeks - 5gm/day

20weeks -10gm/day

32-34weeks 30-35gm/day

Question 2

Iugr

Answer 2

< 2sd

< 10percentile

Question 3

Does smoking affect mat and fetal weight gain in preg

Answer 3

Not maternal

But affects fetal

Question 4

Types of iugr

Answer 4

Early

Late

Question 5

Which has bad prognosis in iugr

Answer 5

Type 1 /early

As the no of cells dec

Question 6

Which has good prognosis among iugr

Answer 6

Late/type 2

No of cell normal

Size of cells is dec

Question 7

What is the proportion of type 1 iugr

Answer 7

Symmetrical

All USG parameters are affected

Question 8

Which is the first organ that is affected in type 2 iugr

Answer 8

Abdomen so AC is first one to dec

Question 9

What is the type of proportion of type 2 iugr

Answer 9

Assymetrical

Except ac
All are normal

Question 10

What is the index used for measurement in iugr

Answer 10

Ponderal index

Est fetal weight /FL ^3
/

Question 11

What is ponderal index in type 1 iugr

Answer 11

Normal (symm)

Question 12

What is ponderal index in type 2 iugr

Answer 12

Dec

Question 13

Which is more common type of iugr

Answer 13

Type 2

Question 14

Causes of type 1 iugr

Answer 14

Chr anomaly

Torch

Question 15

Causes of type 2 iugr

Answer 15

Placental insufficiency

Pih

Chronic renal disease

Question 16

Which parameter is chosen for gest age ist tri

Upto 14weeks

Answer 16

CRL

Question 17

Which parameter is used for gest age tri (14_20 )

Answer 17

Bpd / HC

Question 18

Which parameter is used for gest agein 3 Rd tri

Answer 18

FL

Question 19

Best time for diagnosing gest age

Answer 19

First tri

Question 20

Best parameter out of all in det gestational age

Answer 20

Crl

Question 21

Single best measurement for gest age

Answer 21

Ac

Question 22

What are the clinical diag of gest age and also to check iugr

Answer 22

Sfh b/w 14_32 weeks inc by 1 cm/ week

Lag of 4cm iugr

Ac of mother at 30 weeks 30 inches

Inc by 1 inch / week

Question 23

Measurement of gest age / iugr in USG

Prereq

Answer 23

Ac should be in same plane as
Fetal stomach
U vein
Portal sinus

Question 24

What are the age independent ratios in measuring iugr

Answer 24

HC / ac

FL / AC

N 22%

Iugr type 2. >=23.5%

Question 25

Placental morphogy on iugr

Answer 25

4 grades start from 0

Question 26

Placental category on USG Grade 0 Grade 1

Answer 26

Basal and chorionic plate smooth Smooth indendations in chorionic plate And few echogenic areas

Question 27

Placental category on USG . Grade 2 Grade 3

Answer 27

Echogenic areas+ Comma shaped indentations on chorionic plate Dense echogenic areas Distinc indendations on chorionic plate Echo spared areas Acoustic shadow

Question 28

Best way to detect iugr

Answer 28

Doppler

Question 29

Which grade before term means iugr

Answer 29

Grade 3

Question 30

So to see iugr what do you see in usg

Answer 30

Af Placental changes Middle cerebral a Ductus venous Doppler

Question 31

First change is seen via

Answer 31

AFI+ umbilical a Doppler

Question 32

Middle cerebral a change

Answer 32

N s/d ratio inc Iugr assym sd ratio dec

Question 33

3rd change and terminal event seen in

Answer 33

Ductus venous Doppler

Question 34

Changed in ductus venous doppler

Answer 34

First Dec blood in atrial systole 2nd absent flow in " 3rd reversal 4th reversal of atriaal systole and ventricular diastole

Question 35

Problems in iugr

Answer 35

Oligo Cord compression Resp distress Meconium asp Still birth

Question 36

Neonates with iugr features

Answer 36

Loose skin Dec tone Inc hmd Inc ivh Inc neonatal death

Question 37

Mgx of iugr

Answer 37

Nat biweekly No need of supplements ca mg zn vit c e and high proteins in healthy mother Left Lat position

Question 38

Def mgx of iugr

Answer 38

Depend on u a doppler

Question 39

If sd ratio is decreased mgx

Answer 39

Monitor and deliver at 37 weeks

Question 40

If uterine a Doppler is normal mgx of iugr

Answer 40

Continue nst biweekly Admit and deliver at >= 38 weeks