DrVirgo
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Topics: 1096
Posts: 3,515
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3. A 32-year-old woman, gravida 4, para 3, at 14 weeks' gestation comes for her first prenatal visit. Her previous pregnancy complications include concerns of fetal growth restriction and close surveillance by her physician. Her 4-year-old son with her today is small and learning delayed, and has been evaluated for microcephaly, hypertension, and presence of the hypoplastic philtrum.
For each patient with a fetus or newborn with abnormalities, select the maternal condition most likely associated with these findings.
A) Alcohol use
B) Amphetamine use
C) Cigarette smoking
D) Cocaine use
E) Cystic fibrosis carrier state p
F) Folic acid deficiency
G) Gametic nondisjunction
H) Heroin use
I) Iodine deficiency
J) Marijuana use
K) Parvovirus B19 infection
L) Rh sensitization
M) Rubella infection
N) Tay-Sachs carrier state
Sounds like FAS pretty much (A) Alcohol...
However in FAS, there is a "LONG philtrum" This kid has a hypoplastic philtrum.
Maybe I'm overthinking this one?
but IUGR would be in Smoking as well... so....(C).....?
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| falcon
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Topics: 27
Posts: 471
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A Because smoking does not cause congenital anomalies except IUGR AND all other options has no relationship with PHILTRUM
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