Study Guide : twin

pregnancy
Total points 10/12

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(wachirawit.wi.bud62@cpird.in.th) was recorded
on submission of this form.

The differential diagnosis of clinically 1/1

suspected twins includes all EXCEPT
which of the following ?

Obesity

Hydramnios

Leiomyoma

Blighted ovum

A multifetal gestation resulting from the 1/1

division of a single ovum is termed which
of the following ?

Dizygotic

Fraternal

Identical

Superfecundal

Which of the following is true regarding 1/1

the rate of monozygotic twining ?

It is lower for Hispanic women than for

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It is increase with maternal age and parity

It can be modiBed by FHS treatment

In approximates 1 in 250 wordwide

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 The major cause of neonatal morbidity 1/1
and mortality results from which of the
following ?

Abnormal growth patterns

Congenital malformation

Prematurity

Twin-twin transfusion syndrome

Which of the following is the more 1/1

sensitive tool for diagnosis multifetal
gestation ?

Radiography

Ultrasonography

Maternal serum hCG measurement

Maternal serum alpha-fetoprotein

measurement

Which of the following statement is true in 1/1

twin - twin transfusion syndrome?

It is caused by a small superBcial

arteriovenous placental shunt

The donor twin is at risk of cardiomegaly

and high-output heart failure

The recipient twin is oligohydramnios and

fetal restriction growth

The criterion for diagnosis is a

monochorion with oligohydramnios and
polyhydramnios

What is the daily recommendation for ···/1

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multifetal gestation ?

Iron 60-120 mg daily.

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 Compared with singleton pregnancies, 1/1
multifetal gestations have a higher risk of
all EXCEPT. Which of the following
complication?  (you may choose more
than one answer if you like)

Preeclampsia

Postpartum hemorrhage

Postterm pregnancy

Gestational diabetic mellitus

Macrosomia

Among the following choices, which is the 1/1

strongest risk factor for multifetal
gestation ?

Advanced maternal age

Use pf clomiphene citrate

Maternal history of being a twin herself

African American Ethnicity

Which of the following statements is true 0/1

regarding chorionicity in multifetal
gestation?

Dichorionic pregnancies are always

dizygotic

Monochorionic membranes should have

four layers

Monochorionic pregnancies are always

monozygotic

Same sex-twins are always

monochorionic

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 Which is the most common presentation 1/1
of twins in labor?

Breech/Vertex

Vertex/breech

Vertex/vertex

Vertex/transverse

Which of the following interventions has 1/1

been shown to decrease the rate of
preterm birth in twin ?

Cerclarge

Betamimetics

17 hydroxyprogesterone caproate

Cervical pessary

Calcium channel blocker agent

None of the above

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