Antenatal program

Question 1

When is the booking visit?

Answer 1

8-12 weeks (normally 12 weeks)

Question 2

When is the growth and anomaly scan?

Answer 2

18-20 weeks

Question 3

When is anti - D given?

Answer 3

28 and 34 weeks.

Question 4

When is the tripe test performed?

Answer 4

11-13+6

Question 5

When can the nuchal thickness be measured, what is it a marker of/

Answer 5

Can be measured from 11-13+6 weeks.

A marker in the Downs screening program.

Question 6

When is an OGTT done/

Answer 6

28 weeks.

Question 7

What is used to estimate gestational age?

Answer 7

Crown rump length.

Question 8

What does the downs triple test incorporate?

Answer 8

The nuchal thickness.
Maternal age
Serum levels of PAPPA and HCG

If >1:250, offer confirmatory testing.

Question 9

Is hcg High or low in downs’

Answer 9

HCG is high

Inhibin A is also high

Question 10

What hormones are low in downs?

Answer 10

AFP, PAPPA and estriol.

Question 11

What would signify twins?

Answer 11

high AFP.

Question 12

Congenital malformations hormone

Answer 12

High AFP.

Question 13

Amniocentesis > 15 weeks.

1% miscarriage risk

Answer 13

CVS 12 weeks

2% miscarriage risk.

Question 14

What genetic test is targeted?

Answer 14

FISH

Question 15

What genetic tests lets you look at the whole genome?

Answer 15

Array CGH (comparative genomic hybridisation)

Question 16

Asymmetrical growth restriction suggests what?

Answer 16

Suggests that the deficiency occurs later in pregnancy due to placental insufficiency.

Normal head with smaller body.

Question 17

Normal volume of amniotic fluid?

Answer 17

500-1500mls

Question 18

Some causes of polyhydramnios?

Answer 18

Twins, diabetes, hydrous fetal is, fetal anomaly.

Question 19

What are a few causes of oligohydraminios?

Answer 19

Amniotic fluid < 2cm.

Causes by IUGR, renal agensis, pulmonary hypoplasia.

Question 20

It is the 14th week of a pregnancy, the triple test is no longer appropriate, what test do you do?

Answer 20

The quadruple test.

HCG, PAPPA< AFP< Unconjygated estriol

Question 21

What test is helpful for rhesis disease?

Answer 21

Kleihauer test.

Question 22

What is the ductus venous?

Answer 22

A shunt for blood from left umbilical vein into vena cava.

Question 23

What is the ductus arteriorus?

Answer 23

Connects pulmonary artery to descending aorta.