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Author10 Posts
  #1

A 28-year-old G3 P2 woman has had an uncomplicated pregnancy. A screening ultrasound is performed at 16 weeks gestation, and the findings prompt performance of maternal serum alpha-fetoprotein test, which is elevated. Which of the following abnormalities of the CNS is most likely to be present in this fetus?

A Holoprosencephaly

B Metachromatic leukodystrophy

C Encephalocele

D Germinal matrix hemorrhage

E Spina bifida occulta

  #2

C....IS THE CORRECT ....


  #3

I agree with belladona. High alpha-fetoprotein, the ability to detect this via an ultrasound hints that there is somethign up with the cranial vault. In the case of encephaloceles, the cranial neuropore fails to close. Most of these cases can be prevented by giving what?..................................................................Foli c Acid!

  #4

wait i thought spina bifida occulta was more common so shouldnt that be the answer


  #5

c is correct.

  #6

no darlin' cant be occulta type... rememebr the how... the AFP increases becoz it leaks out from the CSF into the amniotic fluid. in occulta there is skin covering the defect so no AFP leaking out - so no inc in AFP...

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  #7

alfa feto protien increases only in Open not closed neural tube defect.. that's why the answer is C


  #8

ya a feto protien not for occulta ,, only for cystica forms ,,,


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VB

  #9

encephalocele

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  #10

I don't know what coolguy was trying to say... using Ultrasound to detect AFP? wth?







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