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
