A 38-year-old pregnant woman at 11 weeks asks about screening for trisomy 21. She has no symptoms and wants a non-diagnostic risk estimate first.

Question

A 38-year-old pregnant woman at 11 weeks asks about screening for trisomy 21. She has no symptoms and wants a non-diagnostic risk estimate first. Which of the following is the most appropriate counselling?

Accepted Answer

Offer available prenatal screening options such as enhanced first-trimester screening or cell-free DNA according to provincial access and preference

Answer

Tell her screening is not available after age 35 as the preferred next management strategy at this stage in the clinical context described

Answer

Proceed directly to termination without testing as the preferred next management strategy at this stage in the clinical context described

Answer

Do not discuss false positives or diagnostic testing as the preferred next management strategy at this stage in the clinical context described

Answer

Use maternal serum AFP alone at 11 weeks as complete trisomy screening as the preferred next management strategy in this patient

Aneuploidy screening — MCCQE Part 1 MCQ

A 38-year-old pregnant woman at 11 weeks asks about screening for trisomy 21. She has no symptoms and wants a non-diagnostic risk estimate first. Which of the following is the most appropriate counselling?