Penny chapter 30

d. trisomy 13.

Cyclopia would most likely be associated with: a. trisomy 8. b. trisomy 21. c. trisomy 18. d. trisomy 13.

a. 46 chromosomes.

Normal diploid cells have: a. 46 chromosomes. b. 23 chromosomes. c. 21 chromosomes. d. 69 chromosomes.

c. CVS.

The earliest invasive fetal karyotyping technique that can be performed is: a. amniocentesis. b. cordocentesis. c. CVS. d. PUBS.

c. umbilical region.

The term omphalo refers to the: a. neck. b. cord. c. umbilical region. d. neck.

a. trisomy 21.

A 22-week fetus with clinodactyly, an echogenic intracardiac focus, and hyperechoic bowel is noted during a screening obstetrical sonogram. These findings are most consistent with: a. trisomy 21. b. trisomy 13. c. monosomy X. d. trisomy 18.

d. Down syndrome.

A 38-year-old pregnant woman presents to the sonography department for an obstetric sonogram with abnormal maternal serum screening. Her AFP and estriol are low, whereas her hCG is elevated. These laboratory findings are most consistent with: a. Edwards syndrome. b. Patau syndrome. c. triploidy. d. Down syndrome.

b. trisomy.

A cell having three copies of an individual chromosome is referred to as an): a. syndrome. b. trisomy. c. triploidy. d. tetralogy.

d. aneuploid

A cell that has an abnormal number of whole chromosomes is referred to as: a. triploid. b. mosaic. c. haploid. d. aneuploid.

c. Triploidy

A fetus was discovered in Figure 30-25. What chromosomal abnormality would the fetus likely suffer from? a. Trisomy 21 b. Trisomy 18 c. Triploidy d. Turner syndrome

c. triploidy.

A fetus with a karyotype revealing it has 69 chromosomes and sonographic findings of webbed fingers and intrauterine growth restriction most likely has: a. trisomy 21. b. trisomy 18. c. triploidy. d. Turner syndrome.

d. sandal gap.

A large space between the first and second toes is termed: a. polydactyly. b. clubfoot. c. ulnaration. d. sandal gap.

d. triploidy.

A molar pregnancy, omphalocele, and small, low-set ears are found most often with: a. trisomy 21. b. trisomy 18. c. trisomy 13. d. triploidy.

b. monosomy.

A situation in which some cells have an abnormal number of chromosomes whereas others do not is defined as: a. triploid. b. monosomy. c. mosaic. d. haploid.

a. Edwards syndrome.

A strawberry-shaped skull is associated with: a. Edwards syndrome. b. Turner syndrome. c. Down syndrome. d. Patau syndrome.

c. malformation.

A structural abnormality that results from an abnormal development describes: a. syndrome. b. chromosomal deviation. c. malformation. d. congenital misrepresentation.

a. trisomy 21.

Absent nasal bones and an increased nuchal fold measurement are most consistent with the sonographic markers for: a. trisomy 21. b. trisomy 13. c. triploidy. d. trisomy 18.

c. older than 35 years of age.

Advanced maternal age is considered to be: a. older than 25 years of age. b. older than 30 years of age. c. older than 35 years of age. d. older than 32 years of age.

d. trisomy 13.

Another name for Patau syndrome is: a. trisomy 21. b. trisomy 16. c. trisomy 18. d. trisomy 13.

c. trisomy 18.

Bilateral choroid plexus cysts, micrognathia, and rocker-bottom feet are sonographic findings of a 27-week fetus with an omphalocele. These findings are most consistent with: a. trisomy 21. b. trisomy 13. c. trisomy 18. d. triploidy.

c. trisomy 13.

Cleft lip, hypotelorism, and microphthalmia are all sonographic features of: a. trisomy 21. b. trisomy 18. c. trisomy 13. d. Turner syndrome.

a. Down syndrome.

Echogenic small bowel is most often associated with: a. Down syndrome. b. Edwards syndrome. c. Patau syndrome. d. Turner syndrome.

c. Trisomy 18

Figure 30-26 would most likely be associated with which chromosomal abnormality? a. Trisomy 21 b. Turner syndrome c. Trisomy 18 d. Klinefelter syndrome

d. Patau syndrome.

Fusion of the orbits and holoprosencephaly is associated with: a. Edwards syndrome. b. Turner syndrome. c. Down syndrome. d. Patau syndrome.

d. Turner syndrome.

Monosomy X refers to: a. Edwards syndrome. b. Patau syndrome. c. Down syndrome. d. Turner syndrome.

d. Turner syndrome.

Nonimmune hydrops and ovarian dysgenesis are found in fetuses affected by: a. trisomy 21. b. trisomy 18. c. trisomy 13. d. Turner syndrome.

a. dilation of the renal pelvis and calices.

Pelvocaliectasis refers to: a. dilation of the renal pelvis and calices. b. enlargement of the fetal pelvis. c. ectopic location of the kidney within the pelvis. d. dilation of the ureter within the pelvis.

b. brachycephaly.

Rounded head shape is referred to as: a. dolichocephaly. b. brachycephaly. c. cebocephaly. d. craniosynostosis.

d. Trisomy 13

Sonographically, you identify a fetus with fusion of the thalami and a monoventricle. Which chromosomal abnormality would be most likely? a. Trisomy 8 b. Trisomy 21 c. Trisomy 18 d. Trisomy 13

b. Trisomy 21

The abnormality in Figure 30-27 is likely associated with which of the following? a. Trisomy 13 b. Trisomy 21 c. Trisomy 18 d. Turner syndrome

b. clinodactyly.

The bending of the fifth digit toward the fourth digit is called: a. syndactyly. b. clinodactyly. c. polydactyly. d. stabodactyly.

d. decreased hCG, AFP, and estriol.

The maternal serum screening of a mother with a fetus with trisomy 18 will reveal: a. decreased hCG, elevated AFP, and normal estriol. b. increased hCG, AFP, and estriol. c. increased AFP, increased hCG, and decreased estriol. d. decreased hCG, AFP, and estriol.

a. Partial molar pregnancy

The patient in Figure 30-25 had a markedly elevated hCG level. What is the likely diagnosis given the sonographic findings? a. Partial molar pregnancy b. 45,X c. Patau syndrome d. Edwards syndrome

a. microphthalmia.

The term for small eyes is: a. microphthalmia. b. micrognathia. c. microcephaly. d. microglossia.

a. AFP, estriol, and hCG.

The triple screen typically includes: a. AFP, estriol, and hCG. b. AFP, amniotic fluid index, and hCG. c. AFP, estriol, and PAPP-A. d. PAPP-A, inhibin A, and hCG.

c. triploidy.

Theca lutein cysts would most likely be linked with a molar pregnancy and: a. Down syndrome. b. intrauterine growth restriction. c. triploidy. d. monosomy X.

b. syndactyly.

Webbed fingers or toes are termed: a. clinodactyly. b. syndactyly. c. polydactyly. d. Werner syndrome.

d. Turner syndrome.

Webbing of the neck and short stature is found in infertile female patients with a history of a. trisomy 21. b. triploidy. c. trisomy 13. d. Turner syndrome.

b. Sandal gap

What abnormality of the fetal foot can be noted in Figure 30-27? a. Clubfoot b. Sandal gap c. Amelia d. Rocker-bottom foot

c. Chorionic villi

What are the fingerlike projections of gestational tissue that attach to the decidualized endometrium? a. Decidua capsularis b. Decidua vera c. Chorionic villi d. Placental substance

d. Microcephaly

What cranial abnormality is often associated with Figure 30-23? a. Macrocephaly b. Anencephaly c. Strawberry skull d. Microcephaly

b. Fused thalami

What does the arrow in Figure 30-23 indicate? a. Cerebellum b. Fused thalami c. Brainstem d. Proboscis

d. Skin edema

What does the arrow in Figure 30-28 indicate? a. Nuchal thickening b. Cystic hygroma c. Turner syndrome d. Skin edema

c. Single umbilical artery

What does the arrow in Figure 30-29 indicate? a. Umbilical vein varices b. Nuchal cord c. Single umbilical artery d. Single umbilical vein

b. Echogenic bowel

What does the circled region in Figure 30-28 indicate? a. Bowel obstruction b. Echogenic bowel c. Duodenal atresia d. Diaphragmatic hernia

c. Down syndrome

What is another name for the most common chromosomal abnormality? a. Edwards syndrome b. Triploidy c. Down syndrome d. Turner syndrome

a. Syndrome

What is defined as a group of clinically observable findings that exist together and allow for classification? a. Syndrome b. Chromosomal deviation c. Malformation d. Congenital association

a. Trisomy 21

What is macroglossia most often associated with? a. Trisomy 21 b. Trisomy 18 c. Triploidy d. Turner syndrome

b. Trisomy 18

What is the most likely diagnosis based on the sonographic findings in Figure 30-22? a. Trisomy 21 b. Trisomy 18 c. Trisomy 13 d. Turner syndrome

a. Patau syndrome

What is the syndrome associated with the findings in Figure 30-23? a. Patau syndrome b. Edwards syndrome c. Down syndrome d. Turner syndrome

a. Cell-free DNA

Which of the following is a maternal serum test that is used to determine the gender, as well as detecting some chromosomal abnormalities? a. Cell-free DNA b. Cordocentesis c. Amniocentesis d. CVS

c. Klinefelter syndrome

Which of the following is a sex chromosome anomaly associated with hypogonadism and subnormal intelligence in males? a. Down syndrome b. Edwards syndrome c. Klinefelter syndrome d. Turner syndrome

d. 45,X

Which of the following is a sex chromosome anomaly? a. Edwards syndrome b. Trisomy 13 c. Down syndrome d. 45,X

a. Hypoplastic mandible

Which of the following is not consistent with the diagnosis of nonimmune hydrops? a. Hypoplastic mandible b. Pleural effusion c. Ascites d. Subcutaneous edema

a. Trisomy 18

Which of the following is the finding in Figure 30-29 most likely associated with? a. Trisomy 18 b. Klinefelter syndrome c. Trisomy 8 d. Turner syndrome

a. High AFP

Which of the following laboratory findings would not be consistent with trisomy 21? a. High AFP b. Low estriol c. High hCG d. Low PAPP-A

b. Monosomy X

Which of the following would most likely be associated with Figure 30-24? a. Trisomy 13 b. Monosomy X c. Klinefelter syndrome d. Meckel-Gruber syndrome

a. AFP

Which protein is not produced by the developing placenta? a. AFP b. hG c. Estriol d. PAPP-A

c. Down syndrome.

Widened pelvic angles and duodenal atresia are most consistent with the sonographic markers for: a. triploidy. b. Patau syndrome. c. Down syndrome. d. Edwards syndrome.

c. CVS

With what procedure is placental tissue obtained? a. Amniocentesis b. Cordocentesis c. CVS d. Trophoblastic resection technique

c. Down syndrome

With which of the following syndromes is brachycephaly associated most often? a. Edwards syndrome b. Patau syndrome c. Down syndrome d. Turner syndrome