A Reassure B Counsel and offer fetal echocardiography
C Counsel and offer pregnancy termination D Counsel and offer amniocentesis
E Counsel and offer chorionic villus sampling F Counsel and offer intra-uterine therapy
G Counsel and offer fetal surgery H Counsel and offer fetal blood sampling
I Counsel and offer serial fetal growth scans J Counsel and offer induction of labour at 36-38 weeks gestation
K Counsel and offer serum screening and detailed anomaly scan
L Counsel and refer for neonatal assessment after delivery
Instructions: For each of the case histories described below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.
Question 25 A 32 year old woman has undergone IVF treatment during which two embryos were replaced. Ultrasound scan at 6 weeks gestation showed a monochorionic di-amniotic twin pregnancy. She will like a screening test for Down?s syndrome Your answer: K
Correct answer: B
Question 26: A 32 year old woman has undergone IVF treatment during which two embryos were replaced. Ultrasound scan at 6 weeks gestation showed a monochorionic di-amniotic twin pregnancy. She will like a screening test for Down?s syndrome Your answer: K
