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27 Cards in this Set
- Front
- Back
Define teratogenesis.
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• Insults to the forming fetus
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Know the most sensitive period in fetal development.
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• 3rd to 8th week
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List common teratogens.
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1)Infectious agents-Rubella, CMV
2)Physical- Radiation 3)Chemical- Drugs: thalidomide, anticonvulsants,DES 4) Social drugs- Alcohol, tobacco, PCP 5) Metabolic- Diabetes 6) Chromosomal abnormalities |
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Obliteration/blockage
of posterior nasal aperture, seen unilaterally, persistence of oranasal membrane prevents joining of nose with oropharynx |
Choanal atresia-
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Dx/tx- unable to pass #5 french catheter from nose to oropharynx > 32mm
this is for? |
Choanal atresia-
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ankyloglossia=
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tongue tied
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glossoptosis=
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functional macroglossia
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macroglossia=
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large tongue
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micrognathia=
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small jaw
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micrognathia- small jaw
2) macroglossia-large tongue 3) glossoptosis-functional macroglossia 4) ankyloglossia- tongue-tied can all result from? |
Failure of midline fusion
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triad of U-shaped
palate, micrognathia and glossoptosis = |
Pierre-Robin syndrome-
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partial or complete absence of trachea below the larynx =
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Tracheal atresia-
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Dynamic collapse of trachea during expiration=
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Tracheomalacia
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Most common fistula?
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Tracheoesophageal fistulas – TEF
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From her quiz:
he most vulnerable period in fetal development is: |
3-8th week
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From her quiz:
Which intervention is specifically directed towards preventing neural tube defects? Blood pressure control Folate supplementation Iron repletion Calcium supplementation |
Folate supplementation
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From her quiz:
An infant presents with severe respiratory distress, inspiratory stridor, wheezing refractory to nebulizer tx with bronchodilators. You suspect: Tracheal atresia Choanal atresia Tracheal stenosis Tracheomalacia |
Tracheal stenosis
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From her quiz:
Why are upper cleft lip deformities more common than lower? Amniotic banding More complex fusion Susceptible to iron deficiency Teratogenic effect of tobacco use |
More complex fusion
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From her quiz:
The most appropriate timeframe for focusing on the prevention of birth defects in women’s health care is: The preconception counseling session When pregnancy is confirmed via serum/urine tests Onset menses to menopause Adolescent premenopausal females |
Onset menses to menopause
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From her quiz:
Definitive treatment for tracheal atresia is: Immediate intubation/ventilation Tracheotomy Ex-utero intrapartum (EXIT) surgery |
Ex-utero intrapartum (EXIT) surgery
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From her quiz:
Matching: Type the letter of the of the best corresponding answer AFTER each term. A) Beckwidth-Wiedeman and Down’s syndromes. B) Tongue-tied. C) Functional macroglossia. D) Small jaw. E) Pierre-Robin syndrome. Micrognathia - __________ . Ankloglossia - __________ . Glossoptosis - __________ . U-shaped palate, micrognathia, glossoptosis - __________ . Macroglossia - __________ . |
1 D
2 B 3 C 4 E 5 A |
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From her quiz:
Polyhydraminos in utero is suspicious for: Tracheal atresia Cleft lip/palate TEF Choanal atresia |
TEF
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From her quiz:
Bronchiogenic cysts are: Managed with prophylactic antibiotic therapy Surgically excised Removed via bronchoscopy Monitored with yearly x-rays until dissolution |
Surgically excised
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From her quiz:
The pathogenesis of tracheomalacia involves: Abnormal development of the laryngeotracheal groove Intrinsic defect in the cartilaginous portion of the trachea Obliteration of the posterior nasal aperture Compression secondary to haratomas |
Intrinsic defect in the cartilaginous portion of the trachea
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From her quiz:
Infants with TEF’s are commonly at risk for which infectious process? CAP Meningitis Aspiration pneumonia Gastroenteritis |
Aspiration pneumonia
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From her quiz:
Severe facial malformations often correlate with: Cardiac defects CNS defects TEF malformation |
CNS defects
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From her quiz:
Infants with nasal anomalies are more prone to seizures and mental retardation because of which association? Adrenal gland hyperplasia Pituitary gland insufficiency Hydrocephalus |
Pituitary gland insufficiency
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