A 33-Year Old Primigravida Comes to the Office to Discuss

question 24

Multiple Choice

A 33-year old primigravida comes to the office to discuss results of prenatal testing.  The patient is at 12 weeks gestation based on her last menstrual period.  She has been taking prenatal vitamins inconsistently due to pregnancy-related nausea.  Maternal alpha-fetoprotein level is reduced, and an ultrasound reveals increased nuchal translucency.  Chorionic villous sampling shows a fetal karyotype of 47, XX, +21.  The fetus is at greatest risk of developing which of the following conditions?

• A)Duodenal atresia
• B)Holoprosencephaly
• C)Myelomeningocele
• D)Nephroblastoma
• E)Omphalocele
• F)Pyloric stenosis

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Definitions:

Somatic

Relating to the body, especially as distinct from the mind.

Parasympathetic

A branch of the autonomic nervous system that conserves energy by slowing the heart rate, increasing intestinal and gland activity, and relaxing sphincter muscles.

American Sign Language (ASL)

A complete, natural language using hand movements, body language, and facial expressions for communication, primarily used by the deaf community in the United States and parts of Canada.

Left Hemisphere

The left side of the human brain, which is often associated with logical thinking, analytical processes, and language skills.