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SEMINAR FOR OB/GYN > Ch. 28 The Fetal Gastrointestinal System > Flashcards

Ch. 28 The Fetal Gastrointestinal System Flashcards

1
Q 
Most often, \_\_\_\_\_\_\_\_\_\_ is associated w/ duodenal atresia.
Trisomy 21
Trisomy 18
Trisomy 13
Triploidy
A

Trisomy 21

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2
Q 
Hepatomegaly would be seen in conjunction w/:
Down syndrome
Edward syndrome
Beckwith-Wiedermann syndrome
Hirschsprung disease
A

Beckwith-Wiedermann syndrome

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3
Q 
Pentalogy of Cantrell includes all of the following findings except:
Cardiovascular malformations
Diaphragmatic malformations
Omphalocele
Gastroschisis
A

Gastroschisis

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4
Q 
An excessive amount of amniotic fluid is termed:
Polyhydramnios
Oligohydramnios
Esophageal atresia
Amniotic fluid index
A

Polyhydramnios

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5
Q 
The most common abnormality of the fetal liver is:
Gallstones
Hepatocellular lymphadenopathy
Cirrhosis
Hepatomegaly
A

Hepatomegaly

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6
Q

Congenital maldevelopment of the proximal portion of the small intestine is termed:

  • VACTERL syndrome
  • Esophageal atresia
  • Duodenal atresia
  • Jejunal atresia
A

Duodenal atresia

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7
Q 
A functional bowel disorder w/in the fetus that is caused by the absence of intestinal nerves is found in:
Gastroschisis
Beckwith-Wiederman syndrome
Omphalocele
Hirschsprung disease
A

Hirschsprung disease

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8
Q 
The herniation of the bowel into the base of the umbilical cord before 12 wks is termed:
Gastroschisis
Omphalocele
Hernia umbilicus
Physiologic herniation
A

Physiologic herniation

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9
Q 
All of the following are associated w/ omphalocele except:
Trisomy 18
Pentalogy of Cantrell
Intrauterine growth restriction
Hirschsprung disease
A

Hirschsprung disease

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10
Q 
The fetal stomach should be visualized by:
8 wks
14 wks
20 wks
18 wks
A

14 wks

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11
Q 
All of the following are associated w/ esophageal atresia except:
Down syndrome
VACTERL syndrome
Edwards syndrome
Oligohydramnios
A

Oligohydramnios

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12
Q

Gastroschisis occurs more often in what location?

  • Left lateral of the cord insertion
  • Right lateral of the cord insertion
  • Just superior to the fetal bladder
  • In the base of the umbilical cord
A

Right lateral of the cord insertion

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13
Q 
The congenital absence of part of the esophagus is termed:
Duodenal atresia
VACTERL syndrome
Down syndrome
Esophageal atresia
A

Esophageal atresia

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14
Q 
The "double bubble" sign is indicative of:
Esophageal atresia
Duodenal atresia
Hydrocephalus
Oligohydramnios
A

Duodenal atresia

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15
Q

All of the following are associated w/ gastroschisis except:

  • Normal cord insertion
  • Multiple chromosomal abnormalities
  • Elevated maternal serum alpha-fetoprotein
  • Periumbilical mass
A

Multiple chromosomal abnormalities

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16
Q

Which of the following laboratory values would be significant in the detection of an abdominal wall defect?

  • Maternal serum alpha-fetoprotein
  • Human chorionic gonadotropin
  • Maternal serum amylase
  • Estradiol
A

Maternal serum alpha-fetoprotein

17
Q

What organ(s) produces amniotic fluid after 12 wks?

  • Fetal liver and spleen
  • Fetal intestines and lungs
  • Fetal intestines and liver
  • Fetal kidneys
A

Fetal kidneys

18
Q

An omphalocele is associated w/ all of the following except:

  • Pentalogy of Cantrell
  • Trisomy 18
  • Patau syndrome
  • Meconium aspiration syndrome
A

Meconium aspiration syndrome

19
Q 
Duodenal atresia and esophageal atresia are associated w/:
Oligohydramnios
Polyhydramnios
Normal amniotic fluid index
Both A and B
A

Polyhydramnios

20
Q

Intrauterine growth restriction is defined as:

  • A small-for-dates fetus
  • A fetus that falls below below the 10th percentile for gestational age
  • A fetus that is immunocompromised and has decreased umbilical cord Doppler ratios for gestational age
  • A fetus that fall below the 5th percentile for gestational age
A

A fetus that falls below below the 10th percentile for gestational age

21
Q

Which of the following best describes a choledochal cyst?

  • It’s the cystic dilation of the common bile duct
  • It’s the herniation of the abdominal contents into the umbilical cord
  • Its the congenital absence of the cystic duct
  • It’s the inflammation of the biliary tree due to extrinsic obstruction
A

It’s the cystic dilation of the common bile duct

22
Q 
Fetal stool is termed:
Plicae
Meconium
Laguna
Lanugo
A

Meconium

23
Q 
All of the following are associated w/ omphalocele except:
Normal cord insertion
Multiple chromosomal abnormalities
Elevated MSAFP
Periumbilical mass
A

Normal cord insertion

24
Q 
An omphalocele may contain:
Fetal liver
Ascites
Fetal colon
All of the above
A

All of the above

25
Q 
The congenital maldevelopment of the rectum and absence of anal opening is termed:
Jejunal atresia
Intussusception
Anorectal atresia
Duodenal atresia
A

Anorectal atresia

26
Q 
All of the following are associated w/ duodenal atresia except:
Trisomy 21
Esophageal atresia
VACTERL syndrome
Turner syndrome
A

Turner syndrome

27
Q 
Which of the following would be least likely to be associated w/ an elevated maternal serum alpha-fetoprotein?
Pentalogy of Cantrell
Anorectal atresia
Gastroschisis
Omphalocele
A

Anorectal atresia

28
Q 
Which of the following is considered to be the most common type of colonic atresia?
Duodenal atresia
Jejunal atresia
Anorectal atresia
Intussusception
A

Anorectal atresia

29
Q 
Which of the following would be most likely associated w/ an excessive amount of amniotic fluid?
Duodenal atresia
Hepatomegaly
Bilateral renal agenesis
Physiologic bowel herniation
A

Duodenal atresia

30
Q 
Which of the following would be most likely associated w/ oligohydramnios?
Duodenal atresia
Hepatomegaly
Bilateral renal agenesis
Physiologic bowel herniation
A

Bilateral renal agenesis

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