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step2ck_form8/Block 4/Question#35 (1.7 difficulty score)
A 19-year-old woman, gravida 2, para 1, comes ...
Ultrasonography to confirm gestational ageπŸ”

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submitted by step_prep3(8),
  • Key idea: Most common causes of elevated AFP in a pregnant patient are under-estimation of gestational age, fetal demise, multiple gestations, ventral wall defects, neural tube defects and liver disease
  • Key idea: Next step in management of elevated AFP is ultrasound to assess gestational age, viability, number of pregnancies, and assess for defects

submitted by seagull(1431),

Weird question. This is a follow-up - Why would you not have an ultrasound from the previous visit? Perhaps she needs a better doctor.