Maternal-Fetal Medicine — Flashcards

Flashcard 241: The abdominal circumference on USG is measured at the plane of the umbilical _____, fetal stomach, and _____.

Answer: vein; portal sinus

Flashcard 242: Presence of a fetal heartbeat on TVS is a _____indication for expectant management of ectopic pregnancy

Answer: contra

Flashcard 243: Hyperemesis gravidarum can cause persistant nausea and vomiting associated with _____

Answer: Ketonuria::Urine finding

Flashcard 244: _____ uterus or uteroplacental apoplexy which is seen in severe forms of _____ placenta.

Answer: Couvelaire; concealed abruptio

Flashcard 245: Ponderal index > 2 is suggestive of _____ IUGR, whereas a value < 2 is suggestive of _____ IUGR.

Answer: 1. Symmetrical 2. Asymmetrical

Extra: Ponderal Index (PI) = [Weight (g) / Height (cm)³] x 100 - **Symmetrical IUGR**: Weight and length are both reduced proportionally, leading to a **normal** PI (> 2.0). - **Asymmetrical IUGR**: Weight is reduced more than length (head sparing), leading to a **low** PI (< 2.0).

Flashcard 246: Any _____ murmur is never a part of the physiological change in pregnancy

Answer: diastolic

Flashcard 247: In case of Incomplete abortion the most appropriate management is to do _____

Answer: dilatation and curettage

Flashcard 248: Buddha sign/Halo sign is suggestive of _____

Answer: hydrops fetalis.

Flashcard 249: Tocolytic therapy with _____ is used for Placenta previa with ongoing contractions during expectant management

Answer: Nifedipine

Flashcard 250: Missed Abortion (Early Pregnancy Failure) is diagnosed on USG if: - CRL ≥ _____ mm and no heartbeat - Mean Sac Diameter (MSD) ≥ _____ mm and no embryo

Answer: 7; 25

Extra: Society of Radiologists in Ultrasound (SRU) criteria for early pregnancy failure: - Crown-rump length (CRL) of ≥ 7 mm and no heartbeat. - Mean sac diameter (MSD) of ≥ 25 mm and no embryo.