Exam (elaborations)
ABGC Boards Prenatal Study Set Questions and Answers 100% Pass
ABGC Boards Prenatal Study Set Questions and
Answers 100% Pass
T21 Risk by Maternal Age - ANSWER -Age-------------------------------Risk
30 --------------------------------1/952 (.1%)
35 --------------------------------1/385 (.3%)
37 --------------------------------1/227 (.4%)
40 ------------...
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ABGC Boards Prenatal Study Set Questions and
Answers 100% Pass
T21 Risk by Maternal Age - ANSWER ✔✔-Age-------------------------------Risk
30 --------------------------------1/952 (.1%)
35 --------------------------------1/385 (.3%)
37 --------------------------------1/227 (.4%)
40 --------------------------------1/106 (.9%)
43 --------------------------------1/50 (3.1%)
Risk of Any Chrom Abnl by Maternal Age - ANSWER ✔✔-Age--------------------------------Risk
30---------------------------------1/384 (0.3%)
35---------------------------------1/202 (0.5%)
37---------------------------------1/129 (0.8%)
40---------------------------------1/65 (1.6%)
43---------------------------------1/32 (3.1%)
Maternal Serum Quad Screen - ANSWER ✔✔-Measurement of biochemical analytes in maternal serum to
provide adjusted risk for certain conditions.
Performed during second trimester typically 14-21 weeks
Created by Grace Amelia © 2025, All Rights Reserved.
,2|Page
SLO vs XL ichthyosis,
SLO has pre and postnatal growth restrictions - ANSWER ✔✔-Differentials for extremely low uE3 on
QUAD screen and how can you differentiate
Non-disjunction in Meiosis I - ANSWER ✔✔-What is the most common cause of aneuploidy
Quad screen conditions - ANSWER ✔✔--Open Neural tube defects
- Down Syndrome
- Trisomy 18
Quad screen analytes - ANSWER ✔✔--AFP (alpha-fetoprotein)
-hCG (human chorionic gonadotrophin):
-uE3 (unconjugated estriol):
- Inhibin
Factors to take into account for Quad Screen - ANSWER ✔✔-Gestational Age: As this changes so does
expected values of each analyte
Weight: as maternal weight increases so does blood volume. Dilutes analytes
Created by Grace Amelia © 2025, All Rights Reserved.
, 3|Page
Race: Different ethnic backgrounds can affected expected levels
- i.e. African American ancestry tend to have higher AFP levels
-Diabetic status: insulin dependent diabetics tend to have lower AFP
Effects of inaccurate dating for Quad Screen - ANSWER ✔✔--Overestimate (believe pregnancy is further
along) can lead to false positive for Down syndrome. (Overestimate brings you down)
- Underestimate (reported to be earlier than it is) leads to false positive for NTD. London (The under is
the tubes)
- Generally use first trimester ultrasound for dating rather than LMP
IgM (Most recent)
IgG (It is gone) - ANSWER ✔✔-You see IgM but not IgG is this more concerning for recent infections due
to maternal infection.
Memory device
Estriol and hCG low but AFP high early
All low: Late - ANSWER ✔✔-Patterns for recent and older fetal demise
Created by Grace Amelia © 2025, All Rights Reserved.