Prenatal Diagnosis, Fetal Therapy And Ultrasound Flashcards

1
Q

An intrinsic abnormality programmed in development, spina bifida and omaphalocele

A

Malformation

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2
Q

When a genetically normal fetus develops abnormally because of mechanical features

A

Deformation

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3
Q

Occurs when genetically normal tissue is modified as the result of a specific result

A

Disruption

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4
Q

A cluster of several anomalies or defects that have the same cause

A

Syndrome

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5
Q

These defects has ancephaly, spina bifida, cephalocele and rare spinal cases

A

Open neural tube defect

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6
Q

What are examples of anti folate antibodies

A

Anti convulsants

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7
Q

Amount of folic acid must be taken before first trimester

A

4mg

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8
Q

Sources of AFP

A

fetal yolk sac

Fetal git and liver

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9
Q

When does the concentration fetal serum and amniotic fluid increase

A

13th week

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10
Q

When is maternal serum afp offered

A

Second trimester

15-20 weeks

<2-2.5 normal

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11
Q

What are the factors that influence Maternal serum levels

A
Maternal weight
Gestational age
Race
Diabetes 
Multifetal gestation
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12
Q

Low levels of AFP ee

A
Obesity
DM
Trisonomy 21 and 18
Gestational trorphoblastic diese
Overestimated gestational age
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13
Q

What are the 5 specific cranial anomalies

A
Frontal bone scalloping, lemon sign
Small biparietal diameter
Ventriculomegaly
Obliteration or the cistern magna
Elongated cerebellum, banana sign
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14
Q

1st trimester down syndrome screening

A

Maternal serum testing
Nuchal translucency
Combination

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15
Q

Nuchal measurement considered normal

A

3.5mm

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16
Q

Second trimester screning

A

Triple test

AFP
HcG
Unconjugated estriol

Quad
Triple
Dimeric inhibin alpha

17
Q

Sonographic markers of down syndrome

A

Nuchal skin fold
Renal pelvis dilation
Echogenic intracardiac
Echogenic bowel

18
Q

How many ml of amniotic fluid do you usually get

A

20ml

19
Q

Percutaneous umbilical cord blood sampling is also known as

A

Cordocentesis

20
Q

Clinical application of ultrasound

A

Accurate pregnancy dating

Detection of fetal anomalies

21
Q

When is the optimal time to determine chorionicity

Evaluate uterus, adnexal structures and cul de sac

A

1st trimester

22
Q

at what week you can do transabdominal scanning of gestational sac

A

6th week

23
Q

Components or standard ultrasound during 1st trimester

A

Embryo

Crown rump length

Cardiac activity

Fetal number

24
Q

When is fetal biometry done

A

2nd and 3rd trimester

25
Q

If the head shape is flattened what does is signify

A

Dolichocephaly

26
Q

Most affected by fetal growth

A

Abdominal circumference

27
Q

Normal value of amniotic fluid index

A

5 to 24 cm

28
Q

Used to determine the volume and rate of blood flow through maternal and fetal vessels

A

Doppler velocimetry

29
Q

Diminished blood flow may be reflectd such as the following

A

Diastolic notch
Increased sd ratio
Pulsatiliry index
Absence or reverse blood flow

30
Q

When MCA is increased, what does the px have

A

fetal anemia