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Radiology · Obstetric imaging: non-immune hydrops
Sample itemA fetal ultrasound shows skin oedema, ascites and pleural effusion in a fetus whose mother is Rh positive with no antibodies. What is this called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Non-immune hydrops fetalis
Hydrops is the accumulation of fluid in two or more fetal compartments and non-immune causes include cardiac anomalies, infections such as parvovirus, chromosomal abnormalities and anaemia. Immune hydrops results from maternal alloantibodies.
Option by option
A. Non-immune hydrops fetalis (correct)
Correct. Fluid collections in the absence of alloantibodies are non-immune hydrops.
B. Immune hydrops
Immune hydrops requires red cell antibodies.
C. Normal finding
Multiple fluid compartments are never normal.
D. Gastroschisis
Gastroschisis is an abdominal wall defect.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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