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Duke PA OB Genetic Testing

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Question
Answer
Increased maternal age is defined as a mother who will be __ years or older on the day of delivery   show
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show The risk to have a child with a chromosome condition is increased  
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Multiple pregnancy losses are defined as __ pregnancy losses   show
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show Insuline dependent diabetics, lupus, seizure disorders, substance abuse  
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An exposure during embryogenesis which has a harmful effect on the developing fetus   show
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show Brain and genitalia  
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A union between individuals who are related   show
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Consanguinity increases the risk for __ disorders   show
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As a general rule everyone carries __ autosomal recessive genes   show
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What is First trimester screening or “Nuchal Translucency Screening”   show
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show chorionic villus sampling, basically a biopsy of placental tissue  
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Ultrasound can identify __% of babies with Down syndrome   show
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show Rule out  
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show 30  
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A fluid collection in 3 or more body parts   show
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The earlier a spontaneous abortion occurs the more likely it was due to __   show
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show 0.5%  
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show 2 or more  
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What are the three most common trisomic conditions seen in living individuals   show
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show Down syndrome  
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show Trisomy 21  
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show Maternal age  
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show Teenage, and over 35  
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show 1 in 40 deliveries  
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What is the incidence of babies born with Down syndrome to mothers over the age of 40   show
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What is the incidence of babies born with Down syndrome in the general population   show
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What are some examples of neural tube defects   show
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If a couple has a child with a neural tube defect what is the chance that they will have another child affected with the disease. What if they had 2 children affected with the disease   show
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__ screening detects about 85% of all open NTD, and 90% of all anencephalic infants, however it does not detect closed forms of NTDs   show
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show 1 in 3300  
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All individuals with a family history of cystic fibrosis should be offered __   show
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What is the value of CVS   show
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What is the downfall of CVS   show
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When is amniocentesis generally carried out   show
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show Increased risk of miscarriage  
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How long does the process of karyotyping take place   show
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If 1 parent is affected by an autosomal dominant disorder what are the chances that the child will be affected   show
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If both parents are affected by an autosomal recessive disorder what is the chance the child will be affected, what is the chance that the child will be a carrier   show
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show Trisomy 21  
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In the absence of chromosomal abnormalities an increased nuchal translucency is associeated with an increased risk of __   show
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AKA the triple screen   show
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show Maternal serum alpha-fetoprotein, beta hCG, and estriol  
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show Inhibin  
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To which populations should screening for sickle cell disease be offered   show
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What is the definitive test to determine the carrier status of sickle cell disease   show
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show Caucasians and Ashkenazi jews  
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How does the american college of obstetricians and gynecologists feel about the use of diagnostic ultrasonography in the assessment of the pregnancy and fetus   show
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What type of information does a standard US examination provide   show
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show When an anomaly is suspected based on history, biochemical abnormalities, or results of either the limited or standard scan  
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show 17-20 weeks  
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When is amniocentesis often performed   show
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What is the risk of abortion as a result of amniocentesis   show
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When is chorionic villus sampling performed   show
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show Its availability earlier in pregnancy  
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show Higher rate of abortion, does not allow diagnosis of neural tube defects  
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What does PUBS stand for   show
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show Rapid result turnaround and the ability to perform the procedure in the second and third trimesters  
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show Accelerations of fetal heart rate  
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show 2 or more FHR accelerations, at least 15 bpm above baseline and lasting at least 15 seconds within a 20 min period  
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What are high levels of maternal serum AFP associated with   show
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show Acetylcholinesterase  
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show Down syndrome  
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__ is the most common congenital cause of severe mental retardation with an incidence of about 1.3 per 1000 live births   show
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show Advanced maternal age  
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After __ weeks both amniotic fluid and maternal plasma volume decrease   show
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