Choose Wisely!!!
According to the Society of Maternal Fetal Medicine, this is how you diagnose oligohydramnios in the third trimester?
What is a deepest vertical pocket > 2cm
Amniotic fluid volume can be measured using either the amniotic fluid index (AFI) or the deepest vertical pocket (DVP). Diagnosis of oligohydramnios based on an AFI of <5 cm has been found to lead to a greater number of obstetric interventions without a significant benefit in improving perinatal outcomes when compared to use of a DVP of <2 cm for diagnosis.
There are 9 known ultrasound soft markers. Seven of them are?
EIF, CPC, Single umbilical artery, Absent/hypoplpastic nasal bone shortened long bones, echogenic bowel, renal pyelectasis, mild ventriculomegaly
Justin
JC
Joey
Chris
Lance
N'SYNC
In West Philadelphia born and raised
On the playground was where I spent most of my days
Fresh Prince of Bel-Air
This is the subset of pregnant patients who should be screened with an HCV antibody test in early pregnancy.
What are all pregnant patients?
Delivery in a nondiabetic patient for suspected fetal macrosomia should not be made before this gestational age?
39 weeks and 0 days
Recommendations regarding the optimal timing of delivery seek to balance maternal and perinatal risks. Delivery before 39 0/7 weeks of gestation without medical indication has been associated with increased adverse perinatal outcomes compared with those at or beyond 39 weeks of gestation.
The most common system to be impacted by fetal anomalies is?
Cardiac system
Harry
Zayn
Louis
Liam
Nial
One Direction
Nothing really matters, Anyone can see,
Nothing really matters,
Nothing really matters to me
Any way the wind blows...
Queen
Pregnant patients who have HCV should be vaccinated for these two related infections if found to be nonimmune.
What are HAV and HBV?
19 year old G1P0 @ 13 weeks is found to have an EIF. She has normal cell free DNA testing. The next step in genetic work up is?
No further genetic work up is indicated
Because the sensitivity of cell free (cfDNA) screening for Down syndrome approaches 99%, the residual risk for Down syndrome is very low in patients who have a negative cfDNA screening test result. Given the low a priori risk, the presence of an isolated EIF or CPC is unlikely to increase the detection rate for aneuploidy to any measurable degree.
These four structures are a part of the basic anatomical survey of the fetal heart?
4- Chamber view
LVOT
RVOT
4VV
Kevin
Joe
Nick
Jonas Brothers
I've never seen a diamond in the flesh
I cut my teeth on wedding rings in the movies
And I'm not proud of my address
In a torn up town, no postcode envy
Lorde
A pregnant patient screened for HCV at her initial visit has a positive HepC antibody. This is the next appropriate screening test.
What is a quantitative HCV RNA?
This type of thyroid abnormality is seen in 2-5% of health pregnant women and should not be screened for during pregnancy?
Subclinical hypothyroidism
Subclinical hypothyroidism (SCH) is defined as an elevated serum TSH level in the presence of a normal free T4 level and is found in 2% to 5% of otherwise healthy pregnant women. SCH is unlikely to progress to overt hypothyroidism during pregnancy.
These three additional structures are viewed in a detailed anatomical survey of the fetal heart?
Aortic arch
Ductal arch
SVC
IVC
Jackie
Jermaine
Marlon
Michael Jackson
Randy
Jackson 5
You don't have to be rich to be my girl
You don't have to be cool to rule my world
Ain't no particular sign I'm more compatible with
I just want your extra time and your kiss (everybody)
Prince
What are cracked or bleeding nipples?
Inherited thrombophilia's should not be a part of the evaluation in women with histories of pregnancy loss, fetal growth restriction, preeclampsia, and placental abruption. The five components of a inherited thrombophilia work up are?
3 Deficiencies
Antithrombin 3, Protein C, Protein S
2 mutations
Factor V leiden, Prothrombin gene mutation
In a detailed anatomical survey, these six structures in the CNS must be imaged?
Lateral ventricles, choroid plexus, falx, CSP, Cerebellum, Cisterna magna
Jacob
Ashely
Erik
Trevor
Dan
O-Town
And you can tell everybody this is your song
It may be quite simple, but now that it's done
I hope you don't mind, I hope you don't mind
That I put down in the words
How wonderful life is while you're in the world
Sir Elton John
True or False: Patients with HCV in labor should never have early AROM or internal fetal monitors.
These can be used when necessary to aid labor management when the alternative would be Cesarean delivery.