MCQ – 89065

Question

A 19-year-old woman, gravida 1, para 0, at 21 weeks’ gestation comes to the physician for a follow-up prenatal visit. At her previous appointment, her serum a-fetoprotein concentration was elevated. She had smoked 1 pack of cigarettes daily for 3 years but quit at 6 weeks’ gestation. Examination shows a uterus consistent in size with a 21-week gestation. Ultrasonography shows fetal viscera suspended freely into the amniotic cavity. Which of the following is the most likely diagnosis?
A. Vitelline fistula
B.

Diaphragmatic hernia

C.

Omphalocele

D.

Gastroschisis

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