Penny Review : Fetal GI

Fetal meconium typically consists of all the following except ? a) skin b) hair c) bile d) blood

blood

Which of the following best describes a choledochal cyst ? a) it is the cystic dilation of the common bile duct b) herniation of the abd contents into the umbilical cord c) congenital absence of the common bile duct d) inflammation of the biliary tree

cystic dilation of the cbd

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

trisomy 21

Which of the following is most often associated with duodenal atresia ? a) trisomy 21 B0 trisomy 13 c) trisomy 18 d) triploidy

trisomy 21

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

MSAFP

An omphalocele may contain ? a) liver b) ascites c) colon d) all of the above

all of the above

The congenital ma;development of the rectum and absence of anal opening is termed ? a) jejunal atresia b) intussusception c) anorectal atresia d) duodenal atresia

anorectal atresia

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

anorectal atresia

Which of the following would be least likely associated with an elevated MSAFP ? a) pentalogy of Cantrell b) anorectal atresia c) gastroschisis d) omphalocele

anorectal atresia

Which of the following would be most likely associated with oligohydramnios? a) duodenal atresia b) hepatomegaly c) bilat renal atresia d) physiologic bowel herniation

bilat renal agenesis

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) hirschsprungs dz b) cystic fibrosis c) multiple sclerosis d) turner syndrome

cystic fibrosis

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

cystic fibrosis

Congenital maldevelopment of the prox portion of the small intestine is termed ? a) VACTERL association b) esophageal atresia c) duodenal atresia d) jejunal atresia

duodenal atresia

The double bubble sign is associated with ? a) esophageal atresia b) duodenal atresia c) hydrocephalus d) anorectal atresia

duodenal atresia

Which of the following would be associated with an excessive amount of amniotic fluid? a) duodenal atresia b) hepatomegaly c) bilat renal agenesis d) physiologic bowel herniation

duodenal atresia

The congenital absence of part of the esophagu is termed? a) duodenal atresia b) VACTERL association c) Down syndrome d) esophageal atresia

esophageal atresia

The majority of AF is composed of ? a) fetal blood b) fetal serous fluid c) maternal serous fluid d) fetal urine

fetal urine

IUGR is defined as ? a) small for dates fetus b) fetus that falls below the 10th percentile c) an immunocompromised fetus d) fetus that falls below the 5th percentile

fetus that falls below the 10th percentile

Hepatomegaly would least likely be associated with ? a) beckwith weidemann syndrome b) feta lanemia c) intrauterine infections d) gastroschisis

gastroschisis

Pentalogy of Cantrell include all of the following except ? a) cardiovascular malformations b) diaphragmatic malformations c) omphalocele d) gastroschisis

gastroschisis

The most common abnormality of the fetal liver is ? a) gallstones b) hepatocellular lymphadenopathy c) cirrhosis d) hepatomegaly

hepatomegaly

A functional bowel disorder within the fetus that is caused by the absence of intestinal nerves is found in ? a) gastroschisis b) BWS c) omphalocele d) hirschsprungs dz

hirschsprungs dz

All of the following are associated with omphalocele except ? a) trisomy 18 b) pentalogy of Cantrell c) IUGR d) Hirschprungs dz

hirschsprungs dz

What organs produce amniotic fluid after 12 weeks ? a) liver and spleen b) GI and lungs c) GI and liver d) kidneys

kidneys

Al of the following are sono finds of esophageal atresia except? a) absent stomach b) poly c) macrosomia d) IUGR

macrosomia

Fetal stool is termed? a) lplicae b) meconium c) laguna d) lanugo

meconium

An omphalocele is associated with all of the following except ? a) pentalogy of Cantrell b) trisomy 18 c) patau syndrome d) meconium aspiration

meconium aspiration

All of the following are associated with gastroschisis except? a) normal cord insertion b) multi chromosomal anomalies c) elevated MSAFP d) periumbilical mass

multi chromosomal anomalies

All of the following are associated with omphaloceles except ? a) normal cord insertion b) chromosomal abnormalities c) elevated MSAFP d) periumbilical masses

normal cord insertion

All of the following are associated with esophageal atresia except? a) down syndrome b) VACTERL association c) Edwards syndrome d) oligohydramnios

oligohydramnios

The herniation of bowel into the base of the umbilical cord before 12 weeks is termed ? a) trisomy 18 b) pentalogy of Cantrell c) IUGR d) physiologic herniation

physiologic herniation

An excessive amount of amniotic fluid is termed ? a) polyhydramnios b) oligohydramnios c) esophageal atresia d) afi

polyhydramnios

Duodenal atresia and esophageal atresia are associated with ? a) oligo b) poly c) normal afi d) anhydramnios

polyhydramnios

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

right later of the cord insert (CI)

An abnormal connection between the esophagus and trache is termed? a) esophageal duodenal herniation b) double bubble sign c) esophageal atresia d) tracheoesophageal fistula

tracheoesophageal fistula

All of the following are associated with duodenal atresia except ? a) trisomy 21 b) esophageal atresia c) VACTERL association d) turner syndrome

turner syndrome

Hepatomegaly would be seen in conjunction with ? a) down syndrome b) Edwards syndrome c) beckwith weidemann d) hirschprungs dz

beckwith weidemann

The fetal gut develops at the end of the 5th menstrual week and can be divided into all of the following except? a) midgut b) foregut c) hind gut d) central gut

central gut

Normalle physiologic bowel herniation resolves by ? a) 8 wks b) 10 wks c) 24 wks d) 12 wks

12 wks

The fetal stomach should be vis at ? a) 6 wks b) 14 wks c) 20 wks d) 18 wks

14 wks