Fetal GI System Flashcards

1
Q

The gut develops at the end of the ____ week

A

5th week

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2
Q

Transvaginally, the stomach can be seen as early as ___ weeks. But should definitely be seen by ____ weeks

A

8 weeks but definitely by 14 weeks

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3
Q

Large bowel contains hypoechoic _____

A

Meconium

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4
Q

AC should include

A
  • Umbilical vein
  • spine
  • stomach
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5
Q

Congenital absense of part of the esophagus

A

Esophageal atresia

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6
Q

In response to esophageal atresia, the body often forms an abnormal connection called:

A

Tracheoesophageal fistula

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7
Q

Congenital maldevelopment or absence of the duodenum

A

Duodenal atresia

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8
Q

Sign associated with duodenal atresia

A

Double bubble sign

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9
Q

Double bubble sign is:

A

Fluid filled stomach and proximal duodenum

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10
Q

Duodenal atresia is associated with what chromosomal anomaly

A

Trisomy 21

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11
Q

Most common abnormality of the fetal liver

A

Hepatomegaly

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12
Q

The largest lobe in the fetal liver is:

A

The left lobe

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13
Q

No identifiable stomach and severe polyhydramnios would indicate

A

Esophageal atresia

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14
Q

Echogenic bowel is associated with

A
  • trisomy 21
  • cystic fibrosis
  • cytomegalovirus
  • GI obstruction
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15
Q

What sign is this? What is this associated with?

A
  • Double bubble sign

- duodenal atresia

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16
Q

What sign is this? What is it associated with?

A

Double bubble

Duodenal atresia

17
Q

Most common type of colon atresia that will lead to bowel obstruction

A

Anorectal atresia

18
Q

Dilated fetal rectum

A

Anorectal atresia

19
Q

Functional bowel obstruction caused by absence of nerves within bowel wall

A

Hirschprung disease

20
Q

Are MSAFP levels higher in gastroschisis or omphalocele?

A

Gastroschisis

21
Q

Herniation of abdominal contents through a RIGHT sided abdominal wall defect

A

Gastroschisis

22
Q

Gastroschisis will have (normal/abnormal) cord insertion

A

Normal

23
Q

Herniation of bowel/abdominal contents into the base of the umbilical cord

A

Omphalocele

24
Q

Poorer prognosis of omphalocele occurs when mass contains ____

A

Liver

25
Q
A

Gastroschisis

26
Q

How to distinguish gastroschisis vs omphalocele

A

Gastroschisis— open defect, RIGHT side

Omphalocele— closed defect, midline

27
Q
A

Omphalocele