OnlineMedEd: Obstetrics - "Prenatal Infections 2"

Question 1

What symptoms does Toxoplasmosis gondii cause in pregnant women?

Answer 1

A mono-like illness

Question 2

Give the triad for fetal toxoplasmosis.

Answer 2

• Hydrocephalus (aka ventriculomegaly)
• Ventricular calcifications
• Seizures

Question 3

The lesions in secondary syphilis are ___________.

Answer 3

contagious

Question 4

Which stages of syphilis are treatable with penicillin?

Answer 4

All of them: primary through tertiary including the latent phases

Question 5

What form of penicillin is used to treat syphilis?

Answer 5

• For primary through early latent, one intramuscular injection is all that’s needed.
• For late latent, three weekly IM doses are needed.
• For tertiary, IV Q4H for ten days.

Question 6

List the four manifestations of third-trimester syphilis (in the baby).

Answer 6

• Saber-shins
• Snuffles (rhinorrhea)
• Saddle nose
• hutchinSonS teeth

Question 7

To get congenital rubella, the mother has to get _____________.

Answer 7

primary viremia

Question 8

Rubella infection in the first trimester usually leads to ______________.

Answer 8

IUGR or fetal demise

Question 9

Only the ___________ form of HSV infection causes congenital defects.

Answer 9

primary viremia

Secondary reactivation can cause infection, but not defects.

Question 10

What does HSV viremia cause in pregnancy?

Answer 10

• Preterm delivery
• IUGR
• Blindness