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Gynaecology & Obstetrics Prenatal Diagnosis d8c21faf

A 26-year-old G1P0 in her 16th week gestation got a quad screen and had result suggesting a 1:50 risk for Down syndrome. You perform an ultrasound that places the fetus currently at 15wks and 5 days gestation. You should counsel which of the following?

A
The quad screen was drawn too early.
B
For this quad screen she should have an amniocentesis now
C
It would be safe to wait until 22 weeks for her amniocentesis.
D
She should consider termination as an option considering abnormal quad screen
High-Yield Explanation
The patient had a high risk result in the screening test and hence a diagnostic test should be performed. The best procedure at this gestational age is an amniocentesis which will assess the fetal karytotype and also the genetic make up.

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