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Old 06-23-2012
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Default newborn with spina bifida

A 35-year-old African American woman with bipolar disorder delivers
a male newborn who has spina bifida. Which of the following is the
most likely etiology?
A. Advanced maternal age
B. Mood-stabilizing medication
C. Folate excess
D. Ethnicity
E. Maternal malnutrition
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Old 06-23-2012
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Quote:
Originally Posted by Novobiocin View Post
A 35-year-old African American woman with bipolar disorder delivers
a male newborn who has spina bifida. Which of the following is the
most likely etiology?
A. Advanced maternal age
B. Mood-stabilizing medication
C. Folate excess
D. Ethnicity
E. Maternal malnutrition
B
Valproate can also be used as an acute mood stabilizer drug while Lithium starts to work
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Old 06-23-2012
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Originally Posted by XpaezX View Post
B
Valproate can also be used as an acute mood stabilizer drug while Lithium starts to work
Valproate is a stand along treatment of Bipolar disorder.
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Old 06-23-2012
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Originally Posted by Novobiocin View Post
Valproate is a stand along treatment of Bipolar disorder.
I know, but a lot of people dont know that thats why i stated it that way
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B. This woman was likely taking valproic acid, a mood stabilizer used
in treating bipolar disorder, which increases the risk for teratogenicity
(eg, a neural tube defect).
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Old 06-23-2012
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B.yes it is due to lithium.
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Originally Posted by usmle 99 View Post
B.yes it is due to lithium.
Wrong, it is due to folate deficiency secondary to Valproate use
Lithium causes EBSTEIN anomaly in the heart
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Quote:
Originally Posted by XpaezX View Post
Wrong, it is due to folate deficiency secondary to Valproate use
Lithium causes EBSTEIN anomaly in the heart
oh i typed wrong,i mean to say VALPROIC ACID....thanks for correction.
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Quote:
Originally Posted by Novobiocin View Post
A 35-year-old African American woman with bipolar disorder delivers
a male newborn who has spina bifida. Which of the following is the
most likely etiology?
A. Advanced maternal age
B. Mood-stabilizing medication
C. Folate excess
D. Ethnicity
E. Maternal malnutrition

B.....................
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