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Prenatal +Neonatal > Pre-natal neonata > Flashcards

Pre-natal neonata Flashcards

1
Q

What is morgani hernia ?

A

they are a form of CDH anteriorly, USUALLY quite benign but can present as an obstruction?

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2
Q

What age do the alveolar ducts completely form at ?

A

8 years of age

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3
Q

Fetal hydatoin syndrome: cleft lip and palate, small nose, hypertelorism and hypolastic extremities and nails is associated with which medication during pregnancy ?

A

Phenytoin ( Dilantin)

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4
Q

As per CPS statement:
Well appearing term baby > 37 wks
with-positive mothers with adequate intrapartum antibiotic prophylaxis (IAP), no additional risk factors OR mothers who are GBS-negative or GBS-unknown status, with one other risk factor and adequate IAP:

A

Recommendation: observe for 24 hours, and no work up to be done

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5
Q

Ebstein anomalie, fetal goitre, hypotonia, arrythmia and seizures are associated with which exposure during pregnancy ?

A

Lithium

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6
Q

What would the 1st trimester screen be if + for T. 21?

T. 18 ?

A
  1. T21 -> > 3.5MM IN nuchal transuluency,
    - PAPP-A - (reduced in T21)
    - hcg - normal or increased
  2. T18
    hcg -decreased
    pappa - normal
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7
Q

Syndrome associated with micropenis, increased risk of testicular cancer or breast cancer, could appear TALL ie. marfans (1)

A

Kleinfelters

Test karyotype

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8
Q

what is the treatment for graves disease and hyperthyroidism ?

A

methimazole

and symtompatic ie. beta blocker

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9
Q

you see a baby with:
cutis aplasia
cleft lip palate (mid line defects)
polydactyly

What syndrome are you thinking of ?
What is the work up and mangement ?

A

Patau ( t. 13)

work up ?
-confirm testing with karyotype 
-MRI head, us 
echo,
audio 
-renal US
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10
Q

80 % of of intussception occur before age? true or false

A

True

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11
Q

If you were concerned about a) t21 ? or t18 what would you expect.

A 
1.T21 -
AFP- low
estriol-low 
-hcg -high
-inhibin A - high
  1. T18
    -afp - low
    -estriol low
    hcg- low
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12
Q

What is you ddx for a distal obstruction ie. bile emesis

A
  1. meconium ileus
  2. Hirshsprungs
  3. Ileal atresia
    4.
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13
Q

Quad screen (15 to 22 wk), involves which markers ? (4)

A
  1. AFP
  2. Estriol
  3. Hcg
  4. inhibin A
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14
Q

As per CPS statement:
For GBS-positive mothers with inadequate IAP and no additional risk factors OR mothers who are GBS-negative or GBS-unknown status, with one other risk factor and inadequate IAP:

A

close obs of vitals and examination before discharge

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15
Q 
You see a baby with:
cutis aplasia 
-hypertonia 
-rocker bottom feet
-clenched fists
-CHD

What syndrome are you thinking of ?
What is the work up and management ?

A

Edward (t.18)

confirmatory karyotype
Echo
Abdo US

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16
Q

AS PER CPS statement

For un well term baby - what do you do ?

A

full septic work up and amp/ gent work up

17
Q

What anomalies are associated with IDM ?

A
  • LGA
  • IUGR
  • birth trauma thus cerebral edema
  • symptomatic hypoglycemia - neuroimpact
  • hypoglycemia, hypocalcemia
  • congenital anomalies: cardiological
  • hematology: polycythemia
  • congenital anomalies: DA, atresia of the bowel. left colon syndrome
18
Q

Rewiew of GIR CALCULATIONS

D10W = 10 g per 100 mL
1 mL has 10/100 = 0.1 g = 100 mg dextrose

A

To calculate in mg/kg/min convert time units
100 mg/mL x 60 mL/kg/d ÷ 24 h per day ÷ 60 min per hour
=4.2 mg/kg/min

19
Q

Which type of twins is most at risk for TTTS ?

A

MCDA (15%)

MCMA (5)

20
Q

where would you feel the mass in intussception ?

A

upper adbdomen

21
Q

This syndrome is associated with the RAS/MAPK pathway and involves mutation in multiple genes ?
Auto dominant inheritance, FTT but can have risk of of heap

A

Noonan syndrome

Thus what are some features 
to screen for ?
-growth, thus gh 
-cv management ie right sided lesions 
-tx for coagulopathies
22
Q 
Abnormal fluid accumulation in ≥2  fetal compartments
Skin thickening
Fetal ascites
Pleural effusion
Pericardial effusion
(±)Polyhydramnios
 is reffered to ?
A

Hydrops fetalis

23
Q

How can you miss a mechel in a tech 99 ?

A

when it is behind the bladder

24
Q

In what population of mothers is neonatal lupus highest risk ?

A

any with a autoimmune disease

25
Q

Cleft lip/palate
Cardiac anomalies
Hemorrhagic disease of the newborn
is associated with which drug ?

” nose things “
Nasal hypoplasia, depressed bridge
Stippled bone epiphyses
with which drug?

A

Phenobarbital

Warfarin

26
Q

what is important in the management of CDH?

A

gentle lung ventilation to prevent pulmonary dysplasia

27
Q

Neural tube defects
Face narrow bi-frontal diameter, telecanthus, anteverted nostrils
Cardiac defects, long thin fingers/toes

Which drug

A

VPA

28
Q

Most common inherited reason for intellectual delay ?

Based ont he FMR1 gene, and can still present in girls with variable stregnths

A

FRAGILE X
CGG tri repeats
>200 is a mutation

29
Q

A baby presenting at 48 hours of life to a Mom of high risk behaviors with high pitched cry, irritability, apeneas, dysautonomia, irritability, is likely due to which substance ?

A

cocaine

30
Q

What traumatic injury is associated with a brachial plex injury ?

A

1) clavical #
2) humeral #
3) facia nerve palsy
4) subluxation of c-spine

31
Q

IMPORTANT BULLETS

When in doubt when the congenital abnormality occurs

A

10-12 weks

32
Q

Differential for Fetal tachycardia ? ( think fatimah)

A 
F- fever
arrythmia 
Thyrotoxicosis 
Infection (torch sepsis )
Meds 
anemia
h-hypoxia and fetal distres
33
Q

What are the management of CDH when dx antenatally

A
  • counselling, echo, genetics w/u

- experimental with tracheal closure, and thus increase amnio fluid

34
Q

What is the criteria for pyloric stenosis ? (3) (think pie )

A

> 3 cm thick > 14 mm long

-failure to open

35
Q

What is the main reason RBC production decrases at birth in comparison to in-utero ?

A

Babe has incrased exposure to O2, thus decrease epo and erthropoeisis

36
Q

How Does Choanal atresia present ?

A

Can present if bilateral with cyanosis , respiratory distress that improves with positive pressure ventillation.

37
Q

Review APGARs

A 
APEARANCE 
PULSE
GRIMACE
ACTIVITY 
RESP
38
Q

WHAT IS THE most COMMON COMPLICATIONS FOR nec?

A

ACUTE: infection,

CHRONIC: strictures, intestinal failure, NEC, adhesion ileus

39
Q

CPS STATEMENT for NEONATAL TRANSFUSION

A

O2. no O2

  1. WK 115 AND 100
  2. 110 and 85
  3. 85 and 75

Prenatal +Neonatal (4 decks)

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