Arab Board Ob Gyn Final Written Practice Questions - Arab Board Obstetrics And Gynecology Final Written Examination Exam

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A 28-year-old woman with a monochorionic diamniotic (MCDA) twin pregnancy undergoes a routine ultrasound at 20 weeks of gestation. Imaging reveals twin A (donor) with severe oligohydramnios (deepest vertical pool [DVP] 1.4 cm) and an empty, non-visualized bladder. Twin B (recipient) has polyhydramnios (DVP 9.2 cm) and an enlarged bladder. Umbilical artery and ductus venosus Doppler waveforms are normal in both twins. What is the Quintero stage and the definitive gold standard treatment?

Quintero Stage I; Serial selective reduction Quintero Stage IV; Emergency delivery by cesarean section Quintero Stage III; Serial therapeutic amnioreduction Quintero Stage II; Fetoscopic laser photocoagulation of placental communicating vessels

Correct Answer:

Quintero Stage II; Fetoscopic laser photocoagulation of placental communicating vessels

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