Maternal-Fetal Medicine — Flashcards

Flashcard 1: The following is a _____chorionic _____amniotic placenta

Answer: mono

Flashcard 2: The presence of cord entanglement is indicative of _____ twins

Answer: monoamniotic

Flashcard 3: Chorion periphery is a thickened, opaque, gray white circular ridge composed of a double fold of chorion and amnion: _____ placenta

Answer: Circumvallate

Flashcard 4: Criteria for diagnosis of Amniotic fluid embolism: No answer _____

Answer: :)

Flashcard 5: Assuming RhoGam is not given, the first time a mother is Rh- and delivers a Rh+ fetus, the mother will form what substance? _____

Answer:

Flashcard 6: Management of RBSK and Anemia in Preganacy: (too bored to make flashcards rn): _____

Answer: :((

Flashcard 7: The given image shows a _____ placenta

Answer: bilobed

Flashcard 8: The image depicts the _____ placenta in which the cord is attached to the margin of the placenta.

Answer: battledore

Flashcard 9: The following is a _____chorionic _____amniotic placenta

Answer: mono

Flashcard 10: To remember the drugs that are safe to treat hypertension in pregnancy: H_____ L_____ M_____ N_____

Answer: ydralazine

Flashcard 11: "Lambda/Twin-peak sign" is the sonographic image seen in a _____chorionic twin pregnancy.

Answer: di

Flashcard 12: "T sign" is the sonographic image seen in a _____chorionic twin pregnancy.

Answer: mono

Flashcard 13: In circumvallate placenta, the chorionic plate is _____ than the basal plate.

Answer: smaller

Flashcard 14: _____ is transmitted in 1st trimester

Answer: rubella virus

Extra: 

Flashcard 15: _____ is transmitted in 2nd trimester

Answer: parvo virus

Extra: 

Flashcard 16: accuracy of salter scale is _____

Answer: 100 gm

Extra: 

Flashcard 17: <_____ Hb is the cut off for anemia in pregnant female

Answer: 11 mg/dL

Extra: 

Flashcard 18: SUMAN scheme full form

Answer: surakshit matritva aashwasan scheme

Extra: 

Flashcard 19: stillbirth means death of fetus from _____

Answer: 28th week of gestation to birth

Extra: 

Flashcard 20: _____ is the major factor affecting low birth weight

Answer: intrauterine growth retardation(IUGR)

Extra: 

Flashcard 21: Causes of _____ (e.g. cocaine, smoking, and preeclampsia) all increase the risk for placental abruption

Answer: hypertension

Flashcard 22: _____ syndrome is a manifestation of severe preeclampsia that presents with hemolysis, elevated liver enzymes, and low platelets

Answer: HELLP

Flashcard 23: Amniotic fluid emboli may present with _____ symptoms and respiratory distress

Answer: neurologic

Flashcard 24: During pregnancy, Methotrexate can be used as an _____ (with Misoprostol) as well as in the treatment of ectopic pregnancy

Answer: abortifacent

Flashcard 25: _____ infection during the 1st and 2nd trimester(s) can result in hydrops fetalis

Answer: Parvovirus B19

Flashcard 26: _____ is pregnancy-induced hypertension with proteinuria or end-organ dysfunction after 20th week of gestation

Answer: Preeclampsia

Flashcard 27: Compared to normal, what changes detected by a neonatal quad screen would be indicative of trisomy 18 (Edward syndrome)?AFP: _____Estriol: decreasedhCG: decreasedInhibin A: normal or decreased

Answer: decreased

Flashcard 28: Protocol for Rh isoimmunization:If on Fetal blood sampling, the hematocrit is _____, deliver at 34 completed weeks

Answer: >30

Flashcard 29: Sonographic diagnosis of oligohydramnios is usually based on AFI d_____ cm or a single deepest pocket of amniotic fluid d2 cm

Answer: 5

Flashcard 30: A _____ hydatidiform mole is associated with very increased levels of hCG

Answer: complete

Flashcard 31: The presence of fetal _____ in the cervical or vaginal discharge between 24-34 weeks of pregnancy is an indicator of preterm labor

Answer: fibronectin

Flashcard 32: _____ ectopics are least common

Answer: Interstitial

Flashcard 33: _____ pregnancies rupture at a early stage and why?

Answer: Isthmic

Flashcard 34: _____ in number of Lactobacillus acidophilus during pregnancy, increases glycogen metabolism, thus lowering the pH of the vagina

Answer: Increase

Flashcard 35: _____ blood flows into the lacunar spaces of the syncytiotrophoblast as early as the 9th day of pregnancy

Answer: Maternal

Flashcard 36: A _____ hydatidiform mole is characterized by 69 chromosomes

Answer: partial

Flashcard 37: The modified biophysical score consists of _____ and AFI only

Answer: NST

Flashcard 38: Polyhydramnios is when amniotic fluid index (AFI) is more than _____ cm or a single deepest vertical pocket (DVP) is more than 8 cm

Answer: 24

Flashcard 39: Mississippi classification divides HELLP syndrome into _____ classes based on platelet count, AST or ALT levels, and LDH levels.

Answer: 3

Flashcard 40: The _____ component of the placenta is contributed by the chorion frondosum

Answer: fetal

Flashcard 41: A mnemonic used to remember the infectious agents which may cross the _____ and cause congenital infection is ToRCHeS:ToxoplasmosisRubellaCMVHIVHerpes virusSyphilis (treponema pallidum)VZVParvovirus

Answer: placenta

Flashcard 42: _____ -coagulable states are often complicated by recurrent pregnancy loss (women)

Answer: Hyper

Flashcard 43: Protocol for Rh isoimmunization:If MOM is _____ than 1.5 deliver at 37 completed weeks

Answer: less

Flashcard 44: Protocol for Rh isoimmunization:If the blood group of the husband is postive and ICT is negative, there is no _____, and prevention of isoimmunization should be done by giving anti-D prophylactically at 28 weeks

Answer: isoimmunization

Flashcard 45: If period of gestation is less than 32 weeks, REDF is managed by giving _____ for fetal lung maturity along with MgSO4

Answer: dexamethasone

Flashcard 46: Nuchal translucency between _____ weeks is associated adverse pregnancy outcomes like fetal demise, cardiac abnormalites, and other genetic syndromes, even if the karyotype is normal.

Answer: 10 and 13

Flashcard 47: According to Pritchard's regimen, the maintenance dose of MgSo4 in pre-eclampsia is _____ IM 4 hourly in alternate buttocks.

Answer: 5 g (50%)

Flashcard 48: How does coaguability change during pregnancy?_____

Answer: Increased (hypercoagulability

Flashcard 49: In a patient of cardiac disease, Heparin (unfractionated or LMWH) is restarted _____ hours after vaginal delivery and 24 hours after cesarean section.

Answer: 6

Flashcard 50: Pregnant women taking _____ have a 1-2% risk of delivering a baby with spina bifida.

Answer: sodium valproate

Flashcard 51: Hematocrit of e_____% and hemoglobin of e10 g% is necessary for expectant management of placenta previa

Answer: 30

Flashcard 52: The _____:sphingomyelin ratio in amniotic fluid is used to screen for lung maturity

Answer: lecithin

Flashcard 53: _____ may lead to Caudal regression syndrome in infants, which ranges from anal atresia to sirenomelia

Answer: Maternal diabetes

Flashcard 54: Spontaneous abortion is most often due to _____ anomalies, especially trisomy 16

Answer: chromosomal

Flashcard 55: Placental abruption typically presents with abrupt, _____ third trimester bleeding

Answer: painful

Flashcard 56: Calcium Channel Blockers (CCBs) _____ is a dihydropyridine CCB that is used to treat hypertension during pregnancy

Answer: Nifedipine

Flashcard 57: _____ system: Grading of Abruptio placentae

Answer: Sher and Page

Flashcard 58: During pregnancy, after _____ weeks, the woman should be switched back to warfarin and coninued till 36 weeks

Answer: 12

Flashcard 59: If the developing embryo splits in the blastocyst stage (8-12 days), the twins will be _____ and monoamniotic (# of chorions and # of amniotic sacs)

Answer: monochorionic

Flashcard 60: Association of fetal _____ and development of maternal edema in which the fetus mirrors the mother is attributed to Ballantyne syndrome

Answer: hydrops

Flashcard 61: A _____ hydatidiform mole is characterized by 46 chromosomes

Answer: complete

Flashcard 62: Protocol for Rh isoimmunization:If on Fetal blood sampling, the hematocrit is <_____, do Intrauterine transfusion.

Answer: 30

Flashcard 63: A deficiency of _____ long-chain 3-hydroxy acyl CoA dehydrogenase (LCHAD) is involved in the pathogenesis of acute fatty liver of pregnancy.

Answer: fetal

Flashcard 64: Ectopic pregnancy may present with a _____ than expected rise in the hormone hCG based on dates

Answer: lower

Flashcard 65: In an anticipated preterm delivery, the dose of betamethasone is _____mg IM 24hrly 2 doses

Answer: 12

Flashcard 66: One test for fetal lung maturity is the _____:albumin ratio in the amniotic fluid

Answer: surfactant

Flashcard 67: Major complications of ectopic pregnancy are _____ and/or rupture

Answer: hematosalpinx (bleeding into the fallopian tube)

Flashcard 68: The most common infectious causes of septic abortion are:- Gram negative _____- staphylococcus aureus

Answer: bacilli (ex. E coli)

Flashcard 69: _____ is a complication of pregnancy that occurs when fetal vessels run over, or in close proximity to, the cervical os

Answer: Vasa previa

Flashcard 70: Risk factors for placenta previa include _____ and prior C-section

Answer: multiparity

Flashcard 71: _____ syndrome is also called triple edema because the fetus, mother, and placenta all became edematous.

Answer: Ballantyne

Flashcard 72: Placenta previa presents with painless _____ trimester bleeding

Answer: third

Flashcard 73: Fetal growth velocity is maximum (26.9 g/day) over the _____ 36 weeks of pregnancy

Answer: 32

Flashcard 74: Edward syndrome presents with _____ or normal inhibin A

Answer: decreased

Flashcard 75: The following is a _____chorionic diamniotic placenta

Answer: mono

Flashcard 76: Normal pregnancy may decrease the ability of the PCT to reabsorb _____ and amino acids by increasing GFR

Answer: glucose

Flashcard 77: Protocol for Rh isoimmunization:If the ICT is positive, and titres are _____ than 1:16, do 2 weekly ICT monitoring and deliver @ 37 weeks

Answer: less

Flashcard 78: _____ classification is used for diagnosing HELLP syndrome.

Answer: Mississippi

Flashcard 79: Compared to normal, what changes detected by a neonatal quad screen would be indicative of trisomy 21? AFP: _____Estriol: decreasedhCG: increased**Inhibin A: increased**

Answer: decreased

Flashcard 80: A _____ hydatidiform mole is associated with mildy increased levels of hCG

Answer: partial

Flashcard 81: The double bleb sign in pregnancy is due to the _____ and amniotic sac.

Answer: yolk sac

Flashcard 82: Uncomplicated monochorionic twins should be scanned every _____ weeks after 16 weeks in order to detect TTTS and TAPS in a timely manner.

Answer: 2

Flashcard 83: The following is a _____chorionic monoamniotic placenta

Answer: mono

Flashcard 84: Pregnant women with anti-SSA antibodies are at risk for delivering babies with neonatal _____ and congenital heart block

Answer: lupus

Flashcard 85: Dizygotic (fraternal) twins will have _____ amniotic sacs and 2 separate placentas (chorions)

Answer: 2 separate

Flashcard 86: The _____ space between the chorionic plate and the basal plate of the placenta contains only maternal blood

Answer: intervillous

Flashcard 87: Placenta _____ is attachment of the placenta to the lower uterine segment over (or < 2 cm from) the internal cervical os

Answer: previa

Flashcard 88: Components of Biophysical profile: BATMaNB - _____A - Amniotic fluid volumeT - Tone M - Movements N - Non-stress test (NST)

Answer: Breathing movements

Flashcard 89: Presence of a gas shadow within the _____, in cases of foetal death in utero, is also known as Robert's sign

Answer: chambers of the heart or the greater vessels like aorta

Flashcard 90: Protocol for Rh isoimmunization:If the husbands blood group is _____, do ICT

Answer: positive

Flashcard 91: If division of the inner cell mass occurs within _____ days, it results in dichorionic diamniotic twins (DCDA)

Answer: 3

Flashcard 92: A _____ hydatidiform mole most commonly consists of 1 sperm that duplicates within an enucleated egg (85%, karytype 46, XX)

Answer: complete

Flashcard 93: During pregnancy, a woman on _____, should be switched to heparin as soon as preganancy is diagnosed and continued till 12 weeks.

Answer: warfarin

Flashcard 94: Gestational sac in the adnexa with a hyperechoic ring on USG, also known as _____ sign is seen in tubal ectopic

Answer: Bagel

Flashcard 95: Fetus is most vulnerable to deterministic effects of radiation between the _____ and 20th week of gestation

Answer: 2nd

Flashcard 96: _____ transmission of Zika virus can result in microcephaly or miscarriages

Answer: Congenital

Flashcard 97: A woman with HIV infection on ART, _____ withold breastfeeding and can give EBM

Answer: should not

Flashcard 98: In pregnancy, the sciatic nerve may become compressed due to:- increased joint laxity from circulating _____- changes in maternal posture (ex. spinal lordosis)

Answer: relaxin

Flashcard 99: _____ pregnancies rupture at a later stage  and why?

Answer: Interstitial

Flashcard 100: Placental _____ may be diagnosed using the Kleihauer-Betke test, which looks for fetal RBC in the maternal blood

Answer: abruption

Flashcard 101: A _____ hydatidiform mole most commonly consists of 2 sperm with 1 egg

Answer: partial

Flashcard 102: A cervical length less than _____ mm or funneling of more than 25% or both is associated with an increased risk of preterm delivery

Answer: 25

Flashcard 103: In pregnancy, _____ with aspirin 80 mg daily is the most efficacious regimen for treatment of antiphospholipid antibody syndrome

Answer: LMWH

Flashcard 104: Protocol for Rh isoimmunization:If MOM is _____ than 1.5 deliver at 34 completed weeks or do fetal blood sampling if the gestational age is less than 34 weeks

Answer: more

Flashcard 105: Amniocentesis may be done as early as _____ to 17 weeks

Answer: 15

Flashcard 106: Protocol for Rh isoimmunization:If the ICT is positive, and titres are _____ than 1:16, monitor fetal anemia with MCA peak systolic velocity in multiples of median

Answer: more

Flashcard 107: Septic abortion is commonly caused by _____, E. coli (gram negatives), and S. agalactiae

Answer: S. aureus

Flashcard 108: The _____ component of the placenta is contributed by the decidua basalis

Answer: maternal

Flashcard 109: If the developing embryo splits in the morulla stage (4-8 days), the twins will be _____ and diamniotic (# of chorions and # of amniotic sacs)

Answer: monochorionic

Flashcard 110: The highest risk for Fetal varicella syndrome is when the mother develops varicella infection between _____ to 20 weeks.

Answer: 13

Flashcard 111: _____ leads to a "frog-like" appearance of the fetus due to prominent eyes

Answer: Anencephaly

Flashcard 112: _____ is defined as preeclampsia with seizures

Answer: Eclampsia

Flashcard 113: During pregnancy, after _____ weeks, the woman should be switched back to heparin and continued till just before delivery

Answer: 36

Flashcard 114: Protocol for Rh isoimmunization:If the mother is Rh _____, The first step determine the blood group of husband

Answer: negative

Flashcard 115: Oligohydramnios is when amniotic fluid index (AFI) is less than _____ cm or a single deepest vertical pocket (DVP) is less than 2 cm

Answer: 5

Flashcard 116: Transplacental infection of _____ will present with hypertrophy of placenta

Answer: syphilis

Flashcard 117: Calcium supplementation in calcium-deficient mothers _____ the risk of preeclampsia.

Answer: decreases

Flashcard 118: _____receptors of Fetus are especially important for producing fetal heart accelerations

Answer: Chemo

Flashcard 119: Amniotic fluid volume of rd trimester indicates oligohydramnios.

Answer: Amniotic fluid volume of rd trimester indicates oligohydramnios.

Flashcard 120: A risk factor unique for cervical ectopic pregnancy is history of _____ in a prior pregnancy

Answer: dilatation and curettage

Flashcard 121: Is IUD/IUGR a contraindication to labour induction?_____

Answer: No

Flashcard 122: Earliest sign of hydrops fetalis on USG is _____

Answer: Scalp Edema

Flashcard 123: Mild pre-eclampsia necessitates termination of pregnancy at _____ weeks

Answer: 37

Flashcard 124: In which trimester does acute fatty liver manifest most commonly during pregnancy?_____

Answer: Third trimester

Flashcard 125: Asymmetric IUGR occurs when insult occurs in _____ gestation

Answer: late (early/late)

Flashcard 126: At term, the amniotic fluid is _____ and contains a large number of white flakes of vernix.

Answer: cloudy

Flashcard 127: What is the best management of an acute appendicits in pregnancy?_____

Answer: Operative laprotomy

Flashcard 128: _____ placenta is where the cord is attached to the margin of the placenta

Answer: Battledore

Flashcard 129: NST has a _____ false negative rate

Answer: low

Flashcard 130: Molar pregnancy is best diagnosed by a _____

Answer: USG

Flashcard 131: In Quintero stage _____, there will be frank ascites or hydrops in either twin

Answer: IV

Flashcard 132: Recurrence risk after 1 previous baby with anencephaly is _____%

Answer: 4

Flashcard 133: What is the frequency of follow-up for gestational diabetes for fundus examination?_____

Answer: 3 monthly

Flashcard 134: Recurrence risk after 2 previous baby with anencephaly is _____%

Answer: 10

Flashcard 135: Which trisomy may be associated with polyhydramnios and single umbilical artery?_____

Answer: Edwards' syndrome (trisomy 18)

Flashcard 136: Fetal _____ is done as a test of uteroplacental insufficiency in fetuses with a non-reactive non-stress test (NST)

Answer: biophysical profile

Flashcard 137: Maternal death is defined as the death of a woman while pregnant or within _____ days of termination of pregnancy, irrespective of the duration and site of pregnancy

Answer: 42

Flashcard 138: Page's classification of Abruption:In grade _____, the diagnosis is made post delivery

Answer: 0

Flashcard 139: Most common cause of viral hepatitis in pregnancy is hepatitis _____

Answer: B

Flashcard 140: The most appropriate time for delivery in a GDM patient with good glycemic control with insulin would be _____ week.

Answer: 39

Flashcard 141: _____ reduces the risk of preterm labor if given prophylactically.

Answer: Progesterone

Flashcard 142: Page's classification of Abruption:In grade _____, uterine tenderness is always present

Answer: 2

Flashcard 143: Pregnant women who develop COVID-19 pneumonia appear to have increased risk of _____

Answer: preterm labour

Flashcard 144: Management of REDF at and beyond _____ weeks is termination of pregnancy by cesarean section

Answer: 32

Flashcard 145: For a woman who is pregnant and is already taking valproate, changing of the drug _____ recommended

Answer: is not (is/is not)

Flashcard 146: In Quintero stage _____, there will be demise of either fetus

Answer: V

Flashcard 147: Acute appendicitis in pregnancy may present as pain in the _____ quadrant.

Answer: right upper

Flashcard 148: Do offsprings born to women with epilepsy have an increased risk of congenital malformation (even in the absence of anticonvulsant medication)?_____

Answer: Yes

Flashcard 149: Protocol for Rh isoimmunization:The critical value for PSV is _____ MOM

Answer: 1.5

Flashcard 150: The _____ sign refers to the overlapping of the fetal skull bones caused by the collapse of the fetal brain.

Answer: Spalding

Flashcard 151: Fetal loss in APLA is due to _____

Answer: fetal hypoxia

Flashcard 152: Protocol for Rh isoimmunization:If the ICT is positive, then check for the titres, as titres >_____ are considered critical.

Answer: 1:16

Flashcard 153: A BPP score of _____ indicates imminent delivery

Answer: 0 to 2

Flashcard 154: Hypoglycemia are usually seen in the _____ twin of twin-twin transfusion syndrome

Answer: donor

Flashcard 155: An AP diameter of the renal pelvis of more than _____ mm in the third trimester denotes antenatal hydronephrosis due to PUJ obstruction.

Answer: 7 to 7.5

Flashcard 156: Is GDM associated with malformations?_____

Answer: No

Flashcard 157: Normal AFI is between _____cm

Answer: 5-25

Flashcard 158: According to PMSMY, high risk pregnancies are colour coded as _____

Answer: red

Flashcard 159: Protocol for Rh isoimmunization:If the husbands blood group is _____, give routine ANC care

Answer: negative

Flashcard 160: The earliest detectable congenital malformation by USG is _____

Answer: Anencephaly

Flashcard 161: Symmetric IUGR occurs when insult occurs in _____ gestation

Answer: early (early/late)

Flashcard 162: Gestational diabetes mellitus is associated with _____hydramnios

Answer: poly

Flashcard 163: _____ birth weight will impede with performing the external cephalic version

Answer: Low

Flashcard 164: _____ levels are affected in an HIV-positive mother on ART.

Answer: -hCG (Maternal marker)

Flashcard 165: _____ sonographic criteria is used for the diagnosis of a cesarean scar pregnancy

Answer: Godin's

Flashcard 166: Non Invasive Prenatal Testing (NIPT) is used for the _____ of Trisomy 13, 18 and 21 and Turner's syndrome

Answer: screening

Flashcard 167: NST has a _____ false positive rate

Answer: high

Flashcard 168: Newly diagnosed SLE during pregnancy tends to be _____.

Answer: severe (mild/severe)

Flashcard 169: "Lambda/Twin-peak sign" is the sonographic image seen in a _____chorionic twin pregnancy.

Answer: di

Flashcard 170: _____ criteria is used in the diagnosis of primary abdominal pregnancy

Answer: Studdiford

Flashcard 171: The best time to identify the type of twin pregnancy is _____ weeks.

Answer: 11-14

Flashcard 172: In absent end-diastolic flow, it is reasonable to terminate the pregnancy if _____ weeks

Answer: >34

Flashcard 173: What is the rx of choice for scabies in pregnant women?_____

Answer: 5% permethrin cream

Flashcard 174: In Quintero stage _____, donor's bladder is NOT visible

Answer: II

Flashcard 175: If beta-HCG values are less than 1500 IU/L, and there is decreasing trend in levels (between day 1 and day 3), it suggests _____

Answer: abortion

Flashcard 176: A patient with a history of _____ or more mid-trimester pregnancy losses or early preterm deliveries is a candidate for a cerclage

Answer: three

Flashcard 177: A BPP score of _____ requires repeat testing and delivery if persistent

Answer: 4 to 6

Flashcard 178: In women with no prior history of preterm birth and incidentally found short cervix, _____ therapy is preferred over cerclage.

Answer: progesterone

Flashcard 179: Corticosteroids for fetal lung maturity are given for expectant mx of placenta previa if gestational age is

Answer: Corticosteroids for fetal lung maturity are given for expectant mx of placenta previa if gestational age is

Flashcard 180: The most appropriate time for delivery in a GDM patient with poor glycemic control would be _____ weeks.

Answer: 37 to 38

Flashcard 181: Reversed end-diastolic flow (waves appear below the baseline) requires termination of pregnancy _____

Answer: immediately

Flashcard 182: What is the most frequent mode of transmission of Hep. B from mother to fetus?_____

Answer: At delivery

Flashcard 183: _____ staging is used in the grading of twin to twin transfusion syndrome.

Answer: Quintero

Flashcard 184: Definitive mx of incomplete abortion after 12 weeks is augmenting uterine contractions with _____

Answer: oxytocin

Flashcard 185: At term, the amniotic fluid is moderately _____ and contains a moderate number of white flakes of vernix.

Answer: cloudy

Flashcard 186: Treatment of falciparum malaria during pregnancy:1st trimester: _____

Answer: Quinine

Flashcard 187: When should ART be started in a pregnant woman recently diagnosed with HIV?_____

Answer: as soon as possible

Flashcard 188: Absent end-diastolic flow (waves just touch the baseline, don't appear below it) requires termination of pregnancy _____

Answer: at 34 weeks of gestation.

Flashcard 189: 2020 AHA guidelines recommendations:_____ management should be prioritized during resuscitation from cardiac arrest in pregnancy

Answer: Airway

Flashcard 190: In Quintero stage _____, donor umbilical artery will show AEDF/REDF, and recipient umbilical vein will be pulsatile

Answer: III

Flashcard 191: Fetal macrosomia : Macrosomia is defined by birthweight e _____ g by ACOG

Answer: 4500

Flashcard 192: Thin-walled arterioles are usually seen in the _____ twin of twin-twin transfusion syndrome

Answer: donor

Flashcard 193: In Quintero stage _____, Amniotic fluid is discordant + Urine is visible in donor's bladder.

Answer: I

Flashcard 194: Mcafee and Johnson's expectant management in case of placenta previa advocates termination of pregnancy at _____ weeks.

Answer: 37

Flashcard 195: When is HIV most commonly transmitted from mother to the fetus?_____

Answer: At delivery

Flashcard 196: Is cerclage indicated for first trimester losses?_____

Answer: No

Flashcard 197: Large glomeruli are usually seen in the _____ twin of twin-twin transfusion syndrome

Answer: recipient

Flashcard 198: Protein intake should be increased by _____g/day in 1st trimester

Answer: 0.5

Flashcard 199: _____ levels in Amniotic fluid can be used to test for fetal lung maturity

Answer: Phosphatidylglycerol

Flashcard 200: The most common congenital defect due to warfarin in APLA mothers is _____

Answer: Craniofacial anomaly

Flashcard 201: According to PMSMY, PIH pregnancies are colour coded as _____

Answer: blue

Flashcard 202: _____ is the most common complication of fibroids in pregnancy.

Answer: Red degeneration

Flashcard 203: ACOG recommends termination of pregnancy at _____ weeks of pregnancy in dichorionic gestations

Answer: 38

Flashcard 204: What type of IUGR is associated with brain sparing effect?_____

Answer: Asymmetric

Flashcard 205: "T sign" is the sonographic image seen in a _____chorionic twin pregnancy.

Answer: mono

Flashcard 206: The most common presentation in multifetal pregnancy is _____

Answer: Cephalo-Cephalic.

Flashcard 207: _____ criteria (clinical) is used in the diagnosis of cervical pregnancy

Answer: Paalman and McElin

Flashcard 208: Amnion nodosum (granules on amnion) is a feature of _____hydramnios

Answer: oligo

Flashcard 209: Problems of infants with IUGR and pathogenesis: _____: due to Hypoxia, acidosis, infection, lethal anomaly

Answer: Intrauterine fetal demise

Flashcard 210: In reverse end-diastolic flow, it is reasonable to terminate the pregnancy _____

Answer: immediately

Flashcard 211: The period after fertilization, during which if division takes place, can result in conjoined twins, is >_____ days.

Answer: 13

Flashcard 212: The resting pulse rate increases by _____ beats/min in pregnancy

Answer: 10

Flashcard 213: Pregnant women positive for HBV with HBV DNA e 200,000 IU/mL should receive _____ prophylaxis from the 28th week of pregnancy until birth

Answer: Tenofovir

Flashcard 214: Infection in the second trimester with rubella causes _____

Answer: only deafness

Flashcard 215: The most important step to be done in a woman with a hx of preterm labour is to perform a _____ to measure the mean cervical length

Answer: USG

Flashcard 216: Is there increased risk of miscarriage or early pregnancy loss with COVID-19?_____

Answer: No

Flashcard 217: Nile blue test showing >50% of _____ cells is suggestive of adequate fetal lung maturity

Answer: orange

Flashcard 218: What is the most common antenatally-diagnosed intracranial vascular malformation?_____

Answer: Vein of Galen malformation

Flashcard 219: Severe pre-eclampsia necessitates termination of pregnancy at _____ weeks

Answer: 34

Flashcard 220: Protocol for Rh isoimmunization:Beyond 34 weeks, the false-_____ rate of MCA peak systolic velocity increases

Answer: positive

Flashcard 221: Page's classification of Abruption:In grade _____, maternal shock is present

Answer: 3

Flashcard 222: Is there increased risk of IUGR with COVID-19?_____

Answer: No

Flashcard 223: If a Rh-negative woman, with ICT negative was given prophylactic anti-D at 28 weeks gestation, she should be given another dose of anti-D _____ hours postpartum depending on the baby's blood group

Answer: 72

Flashcard 224: Is placental abruption a contraindication to labour induction?_____

Answer: No

Flashcard 225: Most common cause of acute viral hepatitis related mortality in pregnancy is hepatitis _____

Answer: E

Flashcard 226: Abruptio placentae is a feature of _____hydramnios

Answer: poly

Flashcard 227: For an unruptured ectopic, the preferred mx is usually _____

Answer: inj. methotrexate

Flashcard 228: The most appropriate time for delivery in a GDM patient with good glycemic control with diet would be _____ week.

Answer: >39 upto 41

Flashcard 229: _____ is the next best step in the management of a patient with painless vaginal bleeding at >20 weeks of gestation suspicious of placenta previa.

Answer: Transvaginal ultrasound

Flashcard 230: Chorion periphery is a thickened, opaque, gray white circular ridge composed of a double fold of chorion and amnion: _____ placenta

Answer: Circumvallate

Flashcard 231: _____ is the best investigation for pulmonary embolism in pregnancy

Answer: V/Q scan

Flashcard 232: Maternal serum AFP, beta hCG, unconjugated estriol, and pregnancy-associated plasma protein A levels are _____ in Trisomy 18.

Answer: reduced

Flashcard 233: Buddha sign/Halo sign is suggestive of _____

Answer: hydrops fetalis.

Flashcard 234: Missed Abortion should be suspected if, on USG CRL e_____ mm and no heartbeat is recordedMSD e_____ mm and no embryo is seen

Answer: 7; 25

Flashcard 235: Presence of a fetal heartbeat on TVS is a _____indication for expectant management of ectopic pregnancy

Answer: contra

Flashcard 236: Gross congenital anomalies in the fetus are _____ seen in gestational diabetes.

Answer: not

Flashcard 237: Diagnosis of cervical incompetence in a pregnant female:H/O e2 second trimester abortions- management is by _____+progesteroneH/O 1 second trimester abortion� _____ to measure the cervical length � showing cervical length d2.5 cm then only perform cerclage

Answer: cervical cerclege; USG

Flashcard 238: Tocolytic therapy with _____ is used for Placenta previa with ongoing contractions(Hard uterus) for expectant management

Answer: Nifedipine

Flashcard 239: Hyperemesis gravidarum can cause persistant nausea and vomiting associated with _____

Answer: Ketonuria::Urine finding

Flashcard 240: In case of Incomplete abortion the most appropriate management is to do _____

Answer: dilatation and curettage

Flashcard 241: _____ dose of IV MgSo4 for Eclampsia is given irrespective of renal function status.

Answer: Loading

Flashcard 242: _____ is the drug of choice for controlling blood pressure in severe pre-eclampsia and the maximum dose that can be given is _____ mg.

Answer: Labetalol; 300

Flashcard 243: _____ uterus or uteroplacental apoplexy which is seen in severe forms of _____ placenta.

Answer: Couvelaire; concealed abruptio

Flashcard 244: Ponderal index > 2 is suggestive of _____ IUGR whereas value is suggestive of _____ IUGR.

Answer: symmetrical::symmetrical/asymmetrical; asymmetrical::symmetrical/asymmetrical

Flashcard 245: _____ score is also known as BPP(Bio-Physical Profile) Scoring system

Answer: Manning

Flashcard 246: The abdominal circumference on USG is measured at the plane of the umbilical _____, fetal stomach, and _____.

Answer: vein; portal sinus

Flashcard 247: _____ uterus or uteroplacental apoplexy which is seen in severe forms of _____ placenta.

Answer: Couvelaire; concealed abruptio

Flashcard 248: In-utero exposure to _____, twin pregnancy, and _____ uterus increase the risk of cervical incompetence.

Answer: DES; bicornuate

Flashcard 249: In APLA, pregnancy loss usually occurs < _____ weeks

Answer: 10

Flashcard 250: In circumvallate placenta, the chorionic plate is _____ than the basal plate.

Answer: smaller::larger/smaller

Flashcard 251: 300 micrograms of Anti D can neutralize _____ ml of fetal RBCs

Answer: 15

Flashcard 252: In _____, only the lower body of recipient twin is developed, and donor twin shows signs of heart failure.

Answer: Twin reversed arterial perfusion

Flashcard 253: Partial or total absence of decidua _____ causes Placenta percreta.

Answer: basalis

Flashcard 254: ISTH score > 3 is suggestive of _____ in pregnancy

Answer: DIC

Flashcard 255: Any _____ murmur is never a part of the physiological change in pregnancy

Answer: diastolic

Flashcard 256: A beta HCG of >_____ IU/L would make one opt for surgical management over methotrexate for ectopic pregnancy.

Answer: 3000

Flashcard 257: _____ is the drug of choice for controlling blood pressure in severe pre-eclampsia and the maximum dose that can be given is _____ mg.

Answer: Labetalol; 300

Flashcard 258: _____ IU (_____ mcg) of Anti-D should be given after performing an external cephalic version in Rh-negative pregnant women.

Answer: 1500; 300

Flashcard 259: Drug of choice in pregnancy induced hypertension is

Answer: Labetalol

Flashcard 260: Drug of choice for Hypertension in eclampsia is

Answer: Magnesium Sulphate

Flashcard 261: Drug of choice of hypertension in pregnancy is ?

Answer: Labetalol

Flashcard 262: _______ is the drug of choice for controlling blood pressure in severe pre-eclampsia and the maximum dose that can be given is _______ mg.

Answer: Labetalol

Flashcard 263: Drug of choice for imminent eclampsia is

Answer: Magnesium sulfate

Flashcard 264: Drug of choice In pregnancy-induced hypeension among the following is ?

Answer: Labetalol