FASD Learning module for Medical and allied healthcare professionals

Learning tool for Medical and Allied Health care practitioner

i. Basis of Fetal Alcohol spectrum disorder

i.Extent of FASD in the society

Alcohol use has infested the Canadian society since ages.  The Canadian Alcohol and drug monitoring annual population monitoring survey of Canada has reported 78.4% prevalence of alcohol use in Canada. Alcohol use among youth in 2012 was found to be 70.0%. In 2012, 74.4% females reported past year alcohol use.

 

Overview Video: https://www.youtube.com/watch?v=nM0-hrgYFJk

 

Reference for the following questions are from:

Canadian Center of Substance Abuse:

 

Canadian Addiction Survey (CAS):

 http://www.ccsa.ca/Resource%20Library/ccsa-004804-2004.pdf

The Society of Obstetric and Gynaecology of Canada:

 http://www.sogc.org

What is the prevalence of alcohol use in reported in Canada?

  • 77.1%
  • 25.5%
  • 5%
  • 92%

What percentage of women consumed alcohol in past 12 months?

  • 74.4%
  • 35%
  • 10%
  • 96%

What percentage of women reported drinking during 3 months prior to pregnancy?

  • 62%
  • 10%
  • 90%
  • None

What percentage of women consumed alcohol in past 12 months?

  • 74.4%
  • 35%
  • 10%
  • 96%

Which age group is among women has maximum alcohol use?

  • 18-34 years
  • <18 years
  • >34years
  • >50years

Please describe in detail if the lack of knowledge on incidence and prevalence rates affects the ability to get money for research?

What percentage of women continued drinking during all trimester of pregnanacy?

  • 2.7%
  • 10%
  • 5%
  • 20%

What percentage of women have unintended Pregnancies?

  • More than 50%
  • 5%
  • 95%
  • All Pregnancies are unintended

ii. Consequence of alcohol use

What is the motor neuron sciences identified in FASD? List the brain domains (six of them) that are affected and used diagnosis and some executive function, adaptive social communication, memory attention achievement cognition, neurophysiological

What are the consequences of paternal alcohol use and paternal lifestyle have in causing FASD? Describe.

The damage caused by prenatal alcohol exposure is said to be centric and development. What other disorders of organ damage apart from the face have been described?

Absence of facial dysmorphology can be used as exclusion criteria in diagnosing FASD?

  • True
  • False

A 27 yr female comes for Pre natal counseling. She admits drinking alcohol 3-4 times/wk and drinks little wine after dinner. She is concerned about effects on her baby. She inquires about the “safe amount “of alcohol she can drink during her pregnancy

  • There is no safe amount of alcohol during pregnancy
  • She should consider other low alcohol substitutes
  • She can take wine as much as she wants
  • A) She can drink up to 30 ml of alcohol per month

Which period during pregnancy is considered “safe Period” for drinking alcohol?

  • 1st trimester
  • 2nd trimester
  • 3rd trimester
  • No period during pregnancy is considered a “safe period” for drinking alcohol

Untitled multiple choice question

  • Put your answer option here
  • Put your answer option here

Prenatal alcohol exposure can be considered as a key diagnositic criteria for FASD?

  • True
  • False

iii. Characteristic of Fetal Alcohol Syndrome

Facial features of individual affected with FASD are Dysmorphic facial feature, Growth restriction and CNS –related abnormalities. Which one of the following is not a dysmorphic facial feature of FASD?

  • Short Palpebral feature
  • Cleft lip
  • Micrognathia
  • Minor ear abnormalities
  • Low nose bridge
  • Epi canthal folds
  • Flattened mid face
  • Smooth philtrum
  • Thin vermillion border

Additional Non facial dysmorphic feature occurs in childrens with prenatal alcohol exposure. What Percentage of Patients with prenatal alcohol exposure will have additional cardiac defects like heart mummur?

  • 72%
  • 2%
  • None
  • Cardiac defects are not a characteristics for patients with prenatal alcohol exposure

Which of the following is a non facial dysmorphic feature affecting individuals with FASD?

  • Decreased elbow pronation/supination
  • decreased finger extension
  • ‘‘hockey stick’’ palmer crease
  • All of the above
  • None of the above

Typically children with FAS are short strature, under weight and have height and weight discrepancies. They are below the normal height and normal weight curve for the pediatric population.

  • True
  • False

Prenatal alcohol exposure affects the growth and development of the brain. Which of the following areas is the primary target causing significant deficient CNS function?

  • a) Corpus Collusum
  • Entire brain is affected
  • Hypo campus
  • Basal ganglia
  • Cerebellum
  • All of the above
  • None of the above

Executive functions are sensitive for brain injury resulting from prenatal exposure to alcohol, regardless of the presence of facial dysmorphology

  • True
  • False

The variability in functional ability of FASD across individuals depends on ?

  • Individual genetic factors
  • Depends on dose and timing of exposure
  • Pre natal concomitant drug exposure
  • Post natal child care