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A 32-Year-Old Lady Arrives at the Office with Dyspnea at 28

Question 48

Multiple Choice

A 32-year-old lady arrives at the office with dyspnea at 28 weeks pregnant. She has been experiencing shortness of breath when lying down but has no other symptoms. During her pregnancy, the patient had no prenatal treatment. She has a history of epilepsy, which she manages with medicine. She lives with her spouse and does not smoke, drink, or use illegal drugs. Her vaccines are current, and she does not have any allergies. The uterine size is bigger than predicted for gestational age, according to physical examination. Sonographic examination reveals significantly high amniotic fluid levels. Which of the following prenatal abnormalities is most likely to be the cause of this patient's polyhydramnios?


A) Anencephaly
B) Atrial septal defect
C) Posterior urethral valves
D) Pulmonary hypoplasia
E) Renal agenesis
F) Spina bifida occulta

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