#Twinning
Evil Twin
A Probing Question
And they were Wombmates
Twivia
100

Percent of twins that are dizygotic

What is 70%?

100

TTTS results from this imbalance in placental vasculature.

What are arteriovenous (AV) anastomoses?

100

This sign suggests dichorionicity and is best seen at 11–14 weeks.

What is the lambda sign?

100

The most common complication associated with twins

What is preterm birth?

100

The first recorded case of conjoined twins appeared in this country in the 10th century.

What is Armenia?

200

Most common form of monozygotic twins

What is MCDA?

200

This staging system is used to grade TTTS severity.

What is the Quintero staging system?

200

A “T sign” seen on ultrasound during the first trimester suggests this type of twin pregnancy.

What is a monochorionic diamniotic (MCDA) pregnancy?

200

Vaginal progesterone is potentially helpful in this subset of twin pregnancies.

What is twins with short cervix (<25 mm)?

200

This country currently has the highest natural twin birth rate.

What is Benin (West Africa)?

300

DCDA twin delivery is recommended between these gestational weeks.

What is 37–38 weeks?

300

Intervention is considered in TRAP if this AC ratio is exceeded.

What is ≥50% acardiac-to-pump twin abdominal circumference ratio?

300

In MC twins, this Doppler is used to assess for TAPS starting at 16 weeks.

What is the middle cerebral artery peak systolic velocity (MCA PSV)?

300

The majority of twins are delivered between these gestational ages

What is 32 and 36+6 weeks?

300

The Minnesota Twin Study famously studied twins raised apart to answer this age-old debate

What is nature vs. nurture?

400

The phenomenon in which twins have different fathers

What is heteropaternal superfecundation?

400

The standard treatment for TTTS diagnosed before 28 weeks.

What is fetoscopic laser ablation?

400

Differential placental echogenicity and “starry sky” liver in one twin point to this diagnosis.

What is twin anemia-polycythemia sequence (TAPS)?

400

Cervical length below this threshold may prompt consideration for cerclage in twins.

What is ≤15 mm?

400

The only human twins raised by a she-wolf.

Who are Romulus and Remus

500

The usually quoted base exponent for Hellin's law describing twin frequency

What is 89?

500

Common transient ultrasound finding seen in donor twin after laser surgery for TTTS

What is hydrops?

500

This abnormality is seen in the donor twin’s bladder in stage II TTTS.

What is an absent or non-visible bladder?

500

The length at which contractions would make delivery within a week nearly 100% likely.

What is ≤30 mm?

500

The youngest self-made millionaires twin brand

Who were Mary-Kate and Ashley Olsen?

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