Anything missing w Alcohol Fetal Syndrome? - goodman

[ArchivalUser]

FETAL ALCOHOL SYNDROME

Growth restriction, Midfacial hypoplasia, Microcephaly, and marked CNS dysfunction including the frequent occurrence of mental retardation
Highly associated with Atrial Septal Defect in the newborn.

LOOK FOR THE PICTURE OF THE BOY WITH THOSE FACIAL CHARACTERISTICS.

[ArchivalUser]

A newborn boy delivered at 38 weeks is small for gestational age. Physical examination shows microcephaly, frontal bossing, long and narrow forehead, hypotelorism, maxillary and mandibular hypoplasia, narrow palpebral fissures, thin elongated philtrum, vermilion border of the upper lip, dental malocclusion, saddle nose, tooth enamel hypoplasia, and uvular hypoplasia. Ocular problems include microphthalmia, corneal clouding, coloboma, nystagmus, strabismus, and ptosis. A systolic murmur is heard on auscultation, and echocardiography shows a membranous ventricular septal defect. Which of the following conditions is most likely to produce these findings?
(A) Congenital rubella
(B) Placenta previa
© Maternal diabetes mellitus
(D) Trisomy 21
(E) Fetal alcohol syndrome