{Prenatal screening Flashcards

1
Q

Which prenatal screening test can be done between the 10th and 14th week of the first trimester

A
  1. Fetal free cell dna
  2. NT
  3. Maternal serum PAPP-A and HCG
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2
Q

of the 3 first trimester fetal screening testing offered which test screen for aneuploidy

A

Fetal free cell dna

Maternal serum PAPP-A and HCG

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3
Q

The NT test screens for what fetal disorders

A
  1. Aneuploidy

2. congenital anomalies

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4
Q

When is the fetal anatomic screen performed

A

The fetal anatomy screen is done between 15 to 23 weeks

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5
Q

What does the anatomic screening test screen for?

A
  1. Aneuploidy
  2. NTDs
  3. congenital anomalies
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6
Q

Maternal serum screen also known as the quad screen is done when, during what trimester

A

The quad screen is done during the second trimester

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7
Q

what 4 serum test are included in the quad screen

A
  1. AFP
  2. Estroil
  3. hCG
  4. inhibin A
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8
Q

What abnormalities does quad screen, screen for

A
  1. aneuploidy
  2. NTD
  3. Congenital anomalies
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9
Q

During what weeks gestation is the quad screen done?

A

15-18 weeks

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10
Q

What does an anomaly scan screen for

A
  1. aneuploidy
  2. NTD
  3. congenital anomalies
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11
Q

when is the fetal scan done during what weeks gestation

A

the fetal scan is done between the 15th and 23 weeks optimal time is 18 weeks

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12
Q

What is an integrated screen

A

An integrated screen combines a first trimester and second trimester screening as an integrated risk assessment

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13
Q

What does the integrated screen, screen for

A
  1. Aneuploidy
  2. NTD
  3. Congenital anomalies
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14
Q

How does the integrated and sequential screen differ

A

The sequential screen gives the mother/father the results in stages. The parents are given the results after the results are provided, the first trimester results are given in the first trimester and then the screening serum results are given at they’re available in the second trimester

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15
Q

When is fetal cell free DNA done

A

anytime after 10 weeks to 14 weeks but can be done up until the time of delivery

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16
Q

DURING WHAT TRIMESTER CAN CVS TESTING BE DONE

A

1 ST TRIMESTER BETWEEN 10-14 WEEKS GESTATION

17
Q

WHEN CAN AN AMNIOCENTESIS BE DONE

A

IN THE 2ND TRIMESTER BETWEEN 15 AND 22 WEEKS

18
Q

WHAT IS PAPP-A

A

PAPP-A IS A GLYCOPROTEIN SECRETED BY THE PLACENTA AND DECIDUA

19
Q

HOW ML OF FLUID IN THE NUCHAL FOLD IS ASSOCIATED WITH TRISOMY 21

A

MORE THAN 3 MM OF FLUID

20
Q

DOES ACOG RECOMMENDED CELL FREE FETAL DNA TESTING TO LOW RISK WOMEN IF SO WHY AND WHY NOT

A

THE PPV VALUE IS OF CONCERN, THEREFORE THE ACOG DOES NOT RECOMMEND TESTING WOMEN WITH LOW RISK FACTORS

21
Q

What is expanded carrier testing?

A

Expanded carrier testing is an approach that can identify a greater number of diseases, and is applied across all ethnic groups, regardless of risk status.