Maternal-Fetal Medicine — Flashcards

Flashcard 241: 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 242: Any _____ murmur is never a part of the physiological change in pregnancy

Answer: diastolic

Flashcard 243: In case of Incomplete abortion the most appropriate management is to do _____

Answer: dilatation and curettage

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

Answer: Couvelaire; concealed abruptio

Flashcard 245: The abdominal circumference on USG is measured at the plane of the umbilical _____, fetal stomach, and _____.

Answer: vein; portal sinus

Flashcard 246: In circumvallate placenta, the chorionic plate is _____ than the basal plate.

Answer: smaller::larger/smaller

Flashcard 247: Buddha sign/Halo sign is suggestive of _____

Answer: hydrops fetalis.

Flashcard 248: Gross congenital anomalies in the fetus are _____ seen in gestational diabetes.

Answer: not

Flashcard 249: Diagnosis of cervical incompetence in a pregnant female: - H/O ≥ 2 second trimester abortions: management is by _____ + progesterone - H/O 1 second trimester abortion: _____ to measure the cervical length. If cervical length ≤ 2.5 cm, then perform cerclage.

Answer: Cervical cerclage; USG

Flashcard 250: _____ dose of IV MgSo4 for Eclampsia is given irrespective of renal function status.

Answer: Loading