FIVE CLINICAL CHEMISTRY QUESTIONS:
1. What is the origin of AFP in the amniotic fluid? When do AFPlevels peak in amniotic fluid? In maternal circulation? When shouldmaternal blood levels be drawn?
2. What other test performed on amniotic fluid may confirm thediagnosis of a NTD? What values (elevated, decreased) will thisassay take if a NTD is present?
3. Describe the delta O.D. spectrophotometric test for amnioticfluid bilirubin and discuss the clinical significance of abnormalresults. (Include a description of Hemolytic Disease of theNewborn)
4. Briefly describe the changes in lipid composition of amnioticfluid before and during fetal lung maturation.
5. Describe the triple marker screen for Down syndrome and theexpected changes from normal values for each in an affectedpregnancy.