the fetal gastrointestinal tract PRACTICE QUIZ

Which of the following laboratory values would be significant in the detection of an abdominal wall defect a. MSAFP b. hCG c. maternal serum amylase d estradiol

a

all of the following are associated with omphalocele except: a. normal cord insertion b. multiple chromosomal abnormalities c. elevated MSAFP d periumbilical mass

a

an excessive amount of amniotic fluid is termed: a. polyhydramnios b. oligohydramnios c. esophageal atresia d amniotic fluid index

a

which of the following best describes a choledochal cyst a. it is the cystic dilation of the common bile duct b. it is the herniation of the abdominal contents into the umbilical cord c. it is the congenital absence of the cystic duct d it is inflammation of the biliary tree caused by extrinsic obstruction

a

which of the following is most often associated with duodenal atresia a. trisomy 21 b. trisomy 18 c. trisomy 13 d triploidy

a

which of the following would be most likely associated with an excessive amount of amniotic fluid a. duodenal atresia b. hepatomegaly c. bilateral renal agenesis d physiologic bowel herniation

a

Fetal stomach should be visualized by a. 6 weeks b. 14 weeks c. 20 weeks d 18 weeks

b

all of the following are associated with gastroschisis except a. normal cord insertion b. multiple chromosomal abnormalities c. elevated MSAFP d periumbilical mass

b

duodenal atresia and esophageal atresia are associated with: a. oligohydramnios b. polyhydramnios c. normal amniotic fluid index d anhydramnios

b

fetal stool is termed a. pilcae b. meconium c. laguna d lanugo

b

in what location does gastroschisis occur more often? a. left lateral of the cord insertion b. right lateral of the cord insertion c. just superior to the fetal bladder d base of the umbilical cord

b

intrauterine growth restriction is defined as: a. a small-for-dates fetus b. a fetus that falls below the 10th percentile for gestational age c. a fetus that is immunocompromised and has decreased umbilical cord doppler ratios for gestational age d a fetus that fall below the fifth percentile for gestational age

b

the "double bubble" sign is indicative of: a. esophageal atresia b. duodenal atresia c. hydrocephalus d anorectal atresia

b

what is an inherited disorder in which mucus secreting organs such as the lungs, pancreas, and other digestive organs produce thick and sticky secretions instead of normal secretions a. hirschsprung disease b. cystic fibrosis c. multiple sclerosis d turner syndrome

b

which of the following is associated with echogenic bowel? a. fetal anemia b. cystic fibrosis c. radial ray syndrome d portal hypertension

b

which of the following would be least likely associated with an elevated MSAFP a. pentalogy of cantrell b. anorectal atresia c. gastroschisis d omphalocele

b

Congenital maldevelopment of the proximal portion of the small intestine is termed: a. VACTERL association b. esophageal atresia c. duodenal atresia d jejunal atresia

c

Hepatomegaly would be seen in conjunction with a. down syndrome b. edwards syndrome c. beckwith-wiedemann syndrome d hirschsprung disease

c

all of the following are sonographic findings of esophageal atresia except: a. absent stomach b. polyhydramnios c. macrosomia d intrauterine growth restriction

c

the congenital maldevelopment of the rectum and absence of anal opening is termed: a. jejunal atresia b. intussusception c. anorectal atresia d duodenal atresia

c

the fetal gut develops at the end of the fifth menstrual week and can be divided into all of the following except: a. midgut b. foregut c. centralgut d hindgut

c

which chromosomal anomaly is associated with echogenic bowel? a. trisomy 18 b. trisomy 13 c. trisomy 21 d triploidy

c

which of the following is considered to be the most common type of colonic atresia a. duodenal atresia b. jejunal atresia c. anorectal atresia d intussusception

c

which of the following would be most likely associated with oligohydramnios a. duodenal atresia b. hepatomegaly c. bilateral renal agenesis d physiologic bowel herniation

c

An omphalocele may contain: a. fetal liver b. ascites c. fetal colon d all of the above

d

a functional bowel disorder within the fetus that is caused by the absence of intestinal nerves is found in: a. gastroschisis b. beckwith-wiedemann syndrome c. omphalocele d hirshsprung disease

d

all of the following are associated with duodenal atresia except: a. trisomy 21 b. esophageal atresia c. VACTERL association d turner syndrome

d

all of the following are associated with esophageal atresia except: a. down syndrome b. VACTERL association c. edwards syndrome d oligohydramnios

d

all of the following are associated with omphalocele except: a. trisomy 18 b. pentalogy of cantrell c. intrauterine growth restriction d hirschsprung disease

d

an abnormal connection between the esophagus and trachea is termed: a. esophageal-duodenal herniation b. double bubble sign c. esophageal atresia d tracheoesophageal fistula

d

an omphalocele is associated with all of the following except: a. pentalogy of cantrell b. trisomy 18 c. patau syndrome d meconium aspiration syndrome

d

fetal meconium typically consists of all of the following except: a. skin. b. hair c. bile d blood

d

hepatomegaly would least likely be associated with: a. beckwith-wiedemann syndrome b. fetal anemia c. intrauterine infections d gastroschisis

d

normally, physiologic bowel herniation resolves by: a. 8 weeks b. 10 weeks c. 24 weeks d 12 weeks

d

pentalogy of cantrell includes all of the following findings except: a. cardiovascular malformations b. diaphragmatic malformations c. omphalocele d gastrochisis

d

the congenital absence of part of the esophagus is termed: a. duodenal atresia b. VACTERL association c. down syndrome d esophageal atresia

d

the herniation of the bowel into the base of the umbilical cord before 12 weeks in termed: a. gastroschisis b. omphalocele c. hernia umbilicus d physiologic herniation

d

the majority of amniotic fluid is composed of: a. fetal blood b. fetal serous fluid c. maternal serous fluid d fetal urine

d

the most common abnormality of the fetal liver is: a. gallstones b. hepatocellular lymphadenopathy c. cirrhosis d hepatomegaly

d

what organ produces amniotic fluid after 12 weeks a. fetal liver and the spleen b. fetal intestines and lungs c. fetal intestines and the liver d fetal kidneys

d