#august2020mccqe1
A 26-year-old G2P1 woman at 19 weeks’ gestation comes into the clinic for her scheduled prenatal visit. She complains only of mild fatigue. Past obstetric history is notable for a prior pregnancy 2 years ago. Although that pregnancy was without complications, the child has significant developmental delay. The patient takes no medications other than prenatal vitamins. Her family history is significant for two maternal aunts with mental retardation. The patient is an only child. Physical examination reveals a well-developed gravid female in no acute distress. The uterus is appreciated well above the pubic symphysis. A triple screen test is ordered. What other test is most appropriate to order at this visit?
(A) α-Fetoprotein level
(B) Amniocentesis
(C) Biophysical profile
(D) Chorionic villus sampling
(E) Nonstress test
(F) Percutaneous umbilical blood sampling
(G) Ultrasound
A 26-year-old G2P1 woman at 19 weeks’ gestation comes into the clinic for her scheduled prenatal visit. She complains only of mild fatigue. Past obstetric history is notable for a prior pregnancy 2 years ago. Although that pregnancy was without complications, the child has significant developmental delay. The patient takes no medications other than prenatal vitamins. Her family history is significant for two maternal aunts with mental retardation. The patient is an only child. Physical examination reveals a well-developed gravid female in no acute distress. The uterus is appreciated well above the pubic symphysis. A triple screen test is ordered. What other test is most appropriate to order at this visit?
(A) α-Fetoprotein level
(B) Amniocentesis
(C) Biophysical profile
(D) Chorionic villus sampling
(E) Nonstress test
(F) Percutaneous umbilical blood sampling
(G) Ultrasound
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