structure
Forum Junior
Topics: 26
Posts: 28
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A 28-year-old woman, gravisa 4, para 3, at 8 weeks' gestation comes for her first prenatal visit.She had a child who died shortly after birht of complications of bowel perforation. Her two other children are healthy. She and the father of her children are of Northern European extraction. These is no family history of neonatal death. she is concerned about recurrence.
A. Alchhol use
B. Amphetamine use
C. Cigarette smoking
D. Cocaine use
E. Cystic fibrosis carier state
F. Foloc acid deficiency
G. Gametic nondisjunction
H. Heroin use
I. Iodine deficiency
J. Marijuan use
K. Parvovirus B 19 infection
L. Ph sensitization
M. Rubella infection
N. tay-Sachs carrier state
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| Perhaps
Forum Elite
Topics: 61
Posts: 162
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I think I picked E CF. But not sure
The perforation probably because of meconium ileus?
From European might be another hint.
Tay sach is more neural.
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| frank100
Forum Guru
Topics: 48
Posts: 586
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E also
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| HighHopes
Forum Senior
Topics: 12
Posts: 165
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I think whatever causes prematurity could cause bowel perforation such a smoking , not sure about coccaine ... ,
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| frank100
Forum Guru
Topics: 48
Posts: 586
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here comes my favorite part!!! letīs do it by elimination!!!!
who wantīs to go first?
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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Most of the options are ridiculous, except for E. CF and G. Gametic non disjunction (Down syndrome casuing Duodenal atresia, whihc in extremely rare circumstnaces can result in perforation). However I will go for E. Cystic fibrosis
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| frank100
Forum Guru
Topics: 48
Posts: 586
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outstanding. GDS2008
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| gtd068a
Forum Elite
Topics: 14
Posts: 77
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ans is d
cocaine use in pregnancy is associated with necrotizing enterocolitis
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| yasmeen
Forum Guru
Topics: 68
Posts: 940
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cystic fibrosis carrier autosomal recessive disease causes meconium ileus .she has no symptoms probably a carrier clues--- northeren european decent---other children normal
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| jvo_md
Forum Senior
Topics: 22
Posts: 189
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gtd068a Cocaine use is not in the history...it's CF
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