Fetal Hydrops and Congenital Infections Quiz
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Questions and Answers

Which of the following is a sonographic feature associated with fetal hydrops?

  • Polyhydramnios
  • Thickened placenta
  • Hepatosplenomegaly
  • All of the above (correct)
  • What is the mortality rate for fetal hydrops?

  • Less than 50%
  • Over 70% (correct)
  • Over 80%
  • Around 60%
  • What is the Latin term for 'edema of fetus'?

  • Ascites
  • Anasarca
  • Hydrops fetalis (correct)
  • Polyhydramnios
  • Which of the following is a less common finding in fetal hydrops?

    <p>Placental edema</p> Signup and view all the answers

    What is the term used to describe the generalized infiltration of edematous fluid into subcutaneous tissue?

    <p>Anasarca</p> Signup and view all the answers

    Which blood group system is used for categorizing blood by antigens?

    <p>Rh blood group system</p> Signup and view all the answers

    What is the term used to describe the condition when maternal antibodies attack fetal red blood cells?

    <p>Sensitization/isoimmunization</p> Signup and view all the answers

    In which pregnancy does isoimmunization occur?

    <p>First pregnancy</p> Signup and view all the answers

    What is the main cause of immune fetal hydrops?

    <p>Maternal isoimmunization</p> Signup and view all the answers

    What is the treatment for immune hydrops caused by Rh incompatibility?

    <p>RhD immune globulin (WinRho)</p> Signup and view all the answers

    What is the more common form of hydrops now, due to the availability of WinRho?

    <p>Nonimmune hydrops</p> Signup and view all the answers

    Which classification of hydrops fetalis is the most common?

    <p>Nonimmune hydrops fetalis (NIHF)</p> Signup and view all the answers

    What is the condition characterized by fetal hydrops associated with severe maternal preeclampsia?

    <p>Mirror syndrome</p> Signup and view all the answers

    What is the second most common cause of nonimmune hydrops fetalis?

    <p>Chromosomal anomalies</p> Signup and view all the answers

    Which condition is associated with nonimmune hydrops fetalis?

    <p>All of the above</p> Signup and view all the answers

    What is the term used for the production of antibodies against the tissues of another individual of the same species?

    <p>Isoimmunization</p> Signup and view all the answers

    What is the most common cause of immune fetal hydrops?

    <p>Rh isoimmunization</p> Signup and view all the answers

    Which condition can cause hydrops in a fetus?

    <p>All of the above</p> Signup and view all the answers

    What is the term used for a molecule capable of inducing an immune response?

    <p>Antigen</p> Signup and view all the answers

    Which of the following is a pitfall for misdiagnosing hydrops fetalis?

    <p>All of the above</p> Signup and view all the answers

    What is a distinguishing feature of pseudoascites?

    <p>Hypoechoic abdominal musculature</p> Signup and view all the answers

    Out of these listed which TORCH infection is the most common

    <p>Toxoplasmosis</p> Signup and view all the answers

    Which infection is characterized by massive ascites with fluid surrounding the liver and bowel?

    <p>Toxoplasmosis</p> Signup and view all the answers

    Which infection is associated with increased nuchal translucency and signs of infection with pericardial effusion?

    <p>Rubella</p> Signup and view all the answers

    Which infection is characterized by severe, chronic encephalitis and asymmetric hydrocephaly with internal debris and periventricular calcifications?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Which infection results in inflammation and abnormal calcifications in the placenta?

    <p>Cytomegalovirus</p> Signup and view all the answers

    What is the most common cause of nonimmune fetal hydrops?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Study Notes

    Fetal Hydrops and Associated Conditions

    • Fetal hydrops is characterized by excessive accumulation of fluid in fetal compartments, leading to various sonographic features.
    • Mortality rate for fetal hydrops is significant, with estimates ranging between 25% to 75%, depending on gestational age and underlying causes.
    • Latin term for "edema of fetus" is "hydrops fetalis."
    • Less common findings in fetal hydrops may include pleural effusion or pericardial effusion specifically when limited to one area.
    • Generalized infiltration of edematous fluid into subcutaneous tissue is termed "edema."
    • Blood group system for categorizing blood by antigens is the ABO blood group system.
    • Maternal antibodies attacking fetal red blood cells is known as "hemolytic disease of the newborn" (HDN).
    • Isoimmunization occurs during pregnancies where there is Rh incompatibility, particularly when an Rh-negative mother carries an Rh-positive fetus.
    • Main cause of immune fetal hydrops is Rh incompatibility, leading to severe anemia in the fetus.
    • Treatment for immune hydrops due to Rh incompatibility typically involves the administration of Rh immunoglobulin (WinRho) during pregnancy.
    • Nonimmune hydrops is now more common, largely due to effective management of Rh incompatibility with Rh immunoglobulin.
    • Most common classification of hydrops fetalis is immune hydrops, caused by blood group incompatibility.
    • Condition characterized by fetal hydrops associated with severe maternal preeclampsia is known as "preeclampsia-associated hydrops."
    • Second most common cause of nonimmune hydrops fetalis is cardiovascular defects in the fetus.
    • Nonimmune hydrops fetalis can also be associated with fetal infections, chromosomal anomalies, or structural defects.
    • Term for production of antibodies against the tissues of another individual of the same species is "alloimmunization."
    • Most common cause of immune fetal hydrops is Rh isoimmunization.
    • Various conditions can lead to the development of hydrops in a fetus, including infections, anemia, or cardiac defects.
    • Molecule capable of inducing an immune response is called an "antigen."
    • Pitfalls for misdiagnosing hydrops fetalis may include confusion with other conditions that mimic the appearance of hydrops.
    • Distinguishing feature of pseudoascites is the absence of true fluid separation seen in genuine ascites.
    • Among listed TORCH infections, Cytomegalovirus (CMV) is the most common.
    • Infection characterized by massive ascites with fluid surrounding the liver and bowel is often attributed to viral infections such as CMV or parvovirus.
    • Increased nuchal translucency and signs of infection with pericardial effusion are associated with infections like toxoplasmosis or CMV.
    • Severe chronic encephalitis along with asymmetric hydrocephaly characterized by internal debris and periventricular calcifications is indicative of congenital infections, notably caused by Zika virus.
    • Inflammation and abnormal calcifications in the placenta are often related to infections such as toxoplasmosis.
    • Most common cause of nonimmune fetal hydrops is structural defects or fetal infections.

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    Description

    Test your knowledge on fetal hydrops and congenital infections with this quiz. Learn about the immune fetal hydrops, Rh blood group system, and the classification of blood based on antigens. Find out if you're Rh positive or Rh negative.

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