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Obstetrics

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Infants in the __ percentile are classified as having intrauterine growth restriction (IUGR)   < or =10th  
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Infants in the __ percentile are classified as large for gestational age (LGA)   > or = 90th  
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Both IUGR and LGA fetuses have increased risk for __   Perinatal morbidity and mortality  
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A pregnancy cannot be described as IUGR unless what is known with certainty   Gestational age  
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What does symmetric IUGR refer to   Infants in which all organs are decreased proportionally  
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Symmetric IUGR infants are more likely to have __   An endogenous defect that results in impairment of early fetal cellular hyperplasi  
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What does asymmetric IUGR refer to   Infants in which all organs are decreased disproportionately (abdominal circumference is affected to a greater degree than head circumference)  
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Asymmetric IUGR infants are more likely caused by __   Intrauterine deprivation that results in redistribution of flow to the brain and heart at the expense of less important organs such as the liver and kidneys  
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An infant with an autosomal __ is more likely to be IUGR   Trisomal  
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Multiple gestation is associated with a __% increased incidence of IUGR fetuses   20-30  
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What is the most common maternal complication causing IUGR   Hypertension  
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Women who stop smoking before __ weeks gestation are not at increased risk for having an IUGR infant   16  
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Measurable effect on birthweight (risk of IUGR) seen with daily PO intake of:   <1500 kcal/day  
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What are some vascular diseases that are risk factors for having an IUGR infant   Collagen vascular disease, insulin-dependent diabetes mellitus associated with microvasculopathy and preeclampsia  
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What is the best parameter for early dating of pregnancy on ultra sound   Crown-rump length  
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What are the most accurate parameters for dating of pregnancy in the second trimester   Biparietal diameter, and HC  
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Most accurate parameter for dating of pregnancy in the third trimester   Head circumference  
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Single most common preventable cause of IUGR in infants in the US   Smoking  
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Data shows that IUGR infants appear to catch up in weight in the first __ of life   6 months  
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Taken as a group IUGR infants have more __ than do their AGA peers   Neurologic and intellectual deficits  
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The incidence of __ is increased in IUGR infants   Sudden infant death syndrome  
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Maternal obesity is associated with a __ increased likelihood of fetal macrosomia   3-4 fold  
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Male fetuses are __g heavier on average than female fetuses   150  
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What is the best single measure in evaluating macrosomia by ultrasound in diabetic mothers   Abdominal circumference  
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Estimated fetal wt. by __ is not very accurate   Ultrasound  
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Pregnant who drinks during pregnancy and inadequate peri-natal care   Fetal alcohol syndrome / low birth weight  
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Fetuses with neural tube defects are frequently:   IUGR weighing approximately 250g less than controls  
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Women who stop smoking before __ weeks gestation are not at increased risk for having an IUGR infant   16  
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