USMLE-Rx Step 2 Qmax Challenge #21184

Check out today’s Step 2 CK Qmax Question Challenge.

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USMLE-Rx Step 2 Qmax Challenge #21184A 36-year-old woman who received no prenatal care gave birth to a full-term 3200-g (7.1-lb) girl by spontaneous vaginal delivery. The delivery was uncomplicated. The mother denies any long-term comorbidity. However, she admits to occasional use of alcohol in social situations. The infant’s physical examination is notable for a flat nasal bridge, upslanting palpebral fissures, prominent epicanthal folds, and a pansystolic murmur. Karyotype analysis reveals an abnormality.

In utero, the infant’s condition could have been predicted by which of the following results on a triple marker screen?

A. A
B. B
C. C
D. D
E. E


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8 thoughts on “USMLE-Rx Step 2 Qmax Challenge #21184”

  1. Description in question makes Down Syndrome most likely; Low msAFP, Low Estradiol, and High Bhcg

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