Case based questions S1; U1
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1
what was case 1 Zahlman's mother's Gravita para score
G4P1021
2
A in apgar
appearance or color
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P in apgarhat is nondis
pulse
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g in apgar
grimace
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second a in apgar
activity (muscle tone)
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r in apgar
respiration
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what does this karyotype report show
trisomy 21
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what is nondisjunction
failure of crossing over during cell division (mitosis or meiosis), resulting in daughter cells with an abnormal number of chromosomes (aneuploidy)
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13
what was the diagnosis of baby zahlma (case 1)
trisomy 21, duodenal atresia, atrial septal defect
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16
why did case 2 come to see us (valerie)
25-year-old Caucasian female, comes to your Ob/Gyn practice for prenatal care during her second pregnancy
17
what were the key history findings in valerie's case
seizure disorder controled on medication (carbomazopine)
no folate in diet (uses unprocessed flour and no vitamins)
cousin with baby born with anencephally
no folate in diet (uses unprocessed flour and no vitamins)
cousin with baby born with anencephally
18
what is the purpose of folate?
form of vitamin B9 used for purine synthesis and methylation; large amount needed for nucleic acid synthesis and formation of DNA and RNA; large amount needed for movement of axon potentials in early pregnancy
19
normal or abnormal epithelial cells from cervical pap smear
normal
20
normal or abnormal epitelialn cells from cervical pap smear
abnormal
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27
what is a mylomeningiocele
most severe spinal bifida where spinal cord and meninges protride from opening in spine (found in case 2: mother valerie; baby david)
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ddx for fred lyons based on image
pancost tumor; horner's also found (not in image)
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what was the case presentation of case 4 (Maya Holter)
CC: A 35-year-old woman presents to your neurology practice with sudden onset of left-side headache and eye pain.
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what is the case presentation of case 3 (fred lyons)
CC: Fred Lyons, 66-year-old male, presents to your office complaining of shoulder pain and tingling in the left arm
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what were the important s/s of case 4 (maya)
pain in left eye, sudden eye pain, 6/10 pain headache, vomiting on and off all weak, never had neuro problems before, diplopia
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what drug was maya given for her nausea
Ondosterone (zolfran)
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what was case 4 (maya) ddx
cn III palsy caused by enlarging aneurism
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what hemoraging do aneurisms lead to?
subarachnoid hemorages