Ultrasound findings
These are four infections that can cause non immune hydrops
What are Parvovirus B19, toxoplasmosis, CMV, rubella, HSV, syphilis, varicella?
This is the recommended treatment for infants born to mothers with positive HBsAg or unknown status (bonus for timing of administration)
What is HBIG and hep B vaccine (within 12 hours of birth)?
This is the HIV viral load threshhold at which a patient should be offered cesarean delivery (bonus = gestational age for delivery)
What is > 1,000? (What is 38w0d?)
These are three vaccines you should NOT administer to a pregnant patient
What are MMR, Varicella, HPV, and nasal influenza?
This is the most serious maternal sequelae of varicella infection
What is pneumonia?
These are two possible infectious causes of ventriculomegaly
What are CMV, toxoplasmosis, Zika?
These are three manifestations of neonatal HSV due to maternal primary infection
What are chorioretinitis, microcephaly, and skin lesions (vesicles, ulcerations, or scarring)?
For patients with HSV, these are two contraindications to a vaginal delivery
What are active genital lesions and prodromal symptoms?
These two things should be avoided during pregnancy to reduce the risk of toxoplasmosis
What are consumption of undercooked meat, contact with cat feces, and contact with infected materials or insects in soil?
This is the recommended treatment for pregnant patients with syphillis and history of immediate type allergic reaction to penicillin
What is desensitization + penicillin therapy?
These are two ultrasound findings associated with Zika virus
What are microcephaly, ventriculomegaly, intracranial calcifications, congenital contractures or arthrogryposis?
VZIG should be given to infants born to women who develop varicella in this time frame relative to delivery
What is 5 days prior up until 48 hours after delivery?
These are two risks factors associated with increased risk of vertical transmission of Hepatitis C
What are viral load, co-infection with HIV, maternal IV drug use, *prolonged membrane rupture (>6 hours), *fetal scalp electrode use?
This is the recommended duration of delaying conception after potential maternal exposure to or symptoms of Zika virus (bonus delay for male partner)
What is 8 weeks (3 months)?
This is the recommended treatment for maternal toxoplasmosis
What is spiramycin?
These are three ultrasound findings seen in congenital CMV
What are liver calcifications, hepatosplenomegaly, echogenic bowel, echogenic kidneys, ascites, ventriculomegaly, intracranial calcifications, microcephaly, hydrops, growth restriction?
This is the recommended treatment for infants born to patients with sufficient HIV viral suppression
What is Zidovudine x 4-6 weeks?
For HIV positive patients who are undergoing recommended cesarean delivery, this is the medication regimen and timing that should be administered on the day of delivery
What is zidovudine three hours prior to cesarean?
This is the time period during which the risk of congenital infection is highest after a patient first acquires syphilis infection
What is four years?
This is the recommended treatment for a pregnant patient who is febrile with symptoms of listeriosis
What is IV ampicillin x 14 days?
These are three ultrasound findings seen in congenital varicella
What are hydrops, echogenic foci in liver and bowel, cardiac malformations, limb deformities, microcephaly, growth restriction?
These are two manifestations of congenital rubella
What are deafness, cataracts, cardiac disease?
This is a potential indication for antibiotic prophylaxis for prevention of bacterial endocarditis during labor and delivery
What are patients with prosthetic valves or prosthetic material used for valve repair, patients with un-repaired cyanotic heart disease?
This treatment should be given to nonimmune pregnant patient exposed to varicella (bonus for recommended timing of administration)
What is VZIG (ideally within 96 hours of exposure - can be given up to 10 days after exposure)?
These are the manifestations of the Jarisch-Herxheimer reaction (bonus - results from treatment of what disease).
What are headache, myalgia, rash, hypotension (Syphillis treatment)?