Ch. 28 The Fetal Gastrointestinal System Flashcards
Most often, \_\_\_\_\_\_\_\_\_\_ is associated w/ duodenal atresia. Trisomy 21 Trisomy 18 Trisomy 13 Triploidy
Trisomy 21
Hepatomegaly would be seen in conjunction w/: Down syndrome Edward syndrome Beckwith-Wiedermann syndrome Hirschsprung disease
Beckwith-Wiedermann syndrome
Pentalogy of Cantrell includes all of the following findings except: Cardiovascular malformations Diaphragmatic malformations Omphalocele Gastroschisis
Gastroschisis
An excessive amount of amniotic fluid is termed: Polyhydramnios Oligohydramnios Esophageal atresia Amniotic fluid index
Polyhydramnios
The most common abnormality of the fetal liver is: Gallstones Hepatocellular lymphadenopathy Cirrhosis Hepatomegaly
Hepatomegaly
Congenital maldevelopment of the proximal portion of the small intestine is termed:
- VACTERL syndrome
- Esophageal atresia
- Duodenal atresia
- Jejunal atresia
Duodenal atresia
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
Hirschsprung disease
The herniation of the bowel into the base of the umbilical cord before 12 wks is termed: Gastroschisis Omphalocele Hernia umbilicus Physiologic herniation
Physiologic herniation
All of the following are associated w/ omphalocele except: Trisomy 18 Pentalogy of Cantrell Intrauterine growth restriction Hirschsprung disease
Hirschsprung disease
The fetal stomach should be visualized by: 8 wks 14 wks 20 wks 18 wks
14 wks
All of the following are associated w/ esophageal atresia except: Down syndrome VACTERL syndrome Edwards syndrome Oligohydramnios
Oligohydramnios
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
Right lateral of the cord insertion
The congenital absence of part of the esophagus is termed: Duodenal atresia VACTERL syndrome Down syndrome Esophageal atresia
Esophageal atresia
The "double bubble" sign is indicative of: Esophageal atresia Duodenal atresia Hydrocephalus Oligohydramnios
Duodenal atresia
All of the following are associated w/ gastroschisis except:
- Normal cord insertion
- Multiple chromosomal abnormalities
- Elevated maternal serum alpha-fetoprotein
- Periumbilical mass
Multiple chromosomal abnormalities
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
Maternal serum alpha-fetoprotein
What organ(s) produces amniotic fluid after 12 wks?
- Fetal liver and spleen
- Fetal intestines and lungs
- Fetal intestines and liver
- Fetal kidneys
Fetal kidneys
An omphalocele is associated w/ all of the following except:
- Pentalogy of Cantrell
- Trisomy 18
- Patau syndrome
- Meconium aspiration syndrome
Meconium aspiration syndrome
Duodenal atresia and esophageal atresia are associated w/: Oligohydramnios Polyhydramnios Normal amniotic fluid index Both A and B
Polyhydramnios
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 fetus that falls below below the 10th percentile for gestational age
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
It’s the cystic dilation of the common bile duct
Fetal stool is termed: Plicae Meconium Laguna Lanugo
Meconium
All of the following are associated w/ omphalocele except: Normal cord insertion Multiple chromosomal abnormalities Elevated MSAFP Periumbilical mass
Normal cord insertion
An omphalocele may contain: Fetal liver Ascites Fetal colon All of the above
All of the above
The congenital maldevelopment of the rectum and absence of anal opening is termed: Jejunal atresia Intussusception Anorectal atresia Duodenal atresia
Anorectal atresia
All of the following are associated w/ duodenal atresia except: Trisomy 21 Esophageal atresia VACTERL syndrome Turner syndrome
Turner syndrome
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
Anorectal atresia
Which of the following is considered to be the most common type of colonic atresia? Duodenal atresia Jejunal atresia Anorectal atresia Intussusception
Anorectal atresia
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
Duodenal atresia
Which of the following would be most likely associated w/ oligohydramnios? Duodenal atresia Hepatomegaly Bilateral renal agenesis Physiologic bowel herniation
Bilateral renal agenesis
