Maternal-Fetal Medicine — Flashcards

Flashcard 181: _____ staging is used in the grading of twin to twin transfusion syndrome.

Answer: Quintero

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

Answer: At delivery

Flashcard 183: The most appropriate time for delivery in a GDM patient with poor glycemic control would be _____ weeks.

Answer: 37 to 38

Flashcard 184: Reversed end-diastolic flow (waves appear below the baseline) requires termination of pregnancy _____

Answer: immediately

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: Artemether-lumefantrine (AL)

Extra: According to the latest WHO (2022) and NVBDCP (India) guidelines, **Artemether-lumefantrine (AL)** is now the preferred treatment for **uncomplicated** *P. falciparum* malaria in the **first trimester**, as well as the second and third trimesters. Previously, Quinine (often with Clindamycin) was the recommended treatment for the 1st trimester, but this has been updated due to evidence of ACT safety and superior efficacy. *Note: For **severe** malaria, IV Artesunate is the drug of choice in all trimesters.*

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

Answer: as soon as possible

Flashcard 188: Thin-walled arterioles are usually seen in the _____ twin of twin-twin transfusion syndrome

Answer: donor

Flashcard 189: 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 190: Fetal macrosomia: Macrosomia is defined by ACOG as a birth weight of ≥ _____ g

Answer: 4500