Pregnancy And Pre Natal Diagnosis Flashcards

1
Q

hCG functions

A

Stimulates
-corpus luteum to make progesterone during the first week of pregnancy

-Steroid synthesis by placenta-fetus unit

-Promotes gonads development

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2
Q

Serum hCG exceeds 5IU/ml in?

A

6-12 days after fertilization

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3
Q

Synthesis of beta unit of hCG peaks at about

A

8-10 weeks

alpha unit continues to increase throughout the pregnancy

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4
Q

Secretion of placenta lactogen near term is

A

1-2 g/day

It increases during pregnancy

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5
Q

AFP is peaks at what week

A

12-14 week

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6
Q

AFP peaks at what volume, decreases to what volume at term and after 1 year what’s it volume

A

It PEAKS at 12-14th WEEK at 3mg/mL,

DECREASES at TERM at 20ug/mL

After 1 YEAR, it reaches 1ng/ml

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7
Q

Types of hCG

A

-unmodified hCG

-free hCG

-nicked hCG

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8
Q

Using ultrasonography a developing embryo can first be visualized at about what week?

A

About 6 weeks of gestation

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9
Q

Recognition of major internal organs and extremities using Ultrasonography to determine if any are abnormal can best be seen at what week?

A

16-20 weeks of gestation

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10
Q

Amniotic fluid required for amniocentesis starts to be present at what week?

A

14-20 weeks

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11
Q

Amniocentesis can be analyzed for fetal lung maturity at what weeks?

A

35-36 weeks of gestation

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12
Q

What are checked for lung maturation?

A

-Lecithin : sphingomyelin ratio

-Phosphatidyl glycerol

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13
Q

Chorionic Villus Sampling can be safely performed between what weeks?

A

9.5-12.5 weeks

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14
Q

What test is used to quantify the amount of fetal blood cells in the maternal circulation …

If it’s positive it’s suggests?

A

Kleihauer-Betke test

Positive for fetal-maternal hemorrhage

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15
Q

The sequencing of maternal plasma cell-free DNA can detect?

A

Fetal autosomal aneuploidy

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16
Q

Aneuploid conditions like

A

Trisomies and monosomy X

17
Q

The week of greatest sensitivity of MSAFP

A

16-18 weeks of gestation

18
Q

Anencephaly is found using a combination of ?

A

MSAFP screening and ultrasonography

19
Q

Is acetylcholinesterase is elevated along with MSAFP it suggests

A

A neural tube defect

20
Q

When trisomy 21 and other chromosomal abnormalities are present MSAFP is?

A

Lowered

21
Q

At what course of pregnancy can beta-hCG be used to screen for Down syndrome and it’s used in conjunction with?

A

Used in conjunction with MSAFP at the middle - late 2nd trimester

22
Q

Down syndrome screening interpretation using b-hCG and MSAFP

A

Increased Beta-hCG

Decreased MSAFP

23
Q

Conditions associated with Low estriol level?

A

Down syndrome
Adrenal hypoplasia
Anencephaly

24
Q

Diametric inhibin-A is secreted by?

A

Placenta and maternal ovarian corpus luteum

25
Q

Increased inhibin A is associated with?

A

Increased risk of preterm delivery

Trisomy 21

26
Q

Low PAPP-A during 1st trimester is associated with?

A

Trisomy 13, 18 and 21

SGA baby

Stillbirth

27
Q

High PAPP-A is associated with ?

A

LGA baby

28
Q

Example of triple screen

A

MSAFP

Beta-HCG

Estriol (E3)

29
Q

Component of quadruple screen?

A

MSAFP

Beta-HCG

Estriol

Inhibin-A

30
Q

What 1st trimester combined screening has a high diagnostic yield

A

Measurement of nuchal translucency, PAPP-A and beta-HCG