<prompt> In Downs syndrome, the serum markers...Increased MSAFP and UE3, Decreased PAPP-A and hCG, NT 3mmDecreased MSAFP, PAPP-A and UE3 and Increased hCG, NT 3mmDecreased MSAFP, PAPP-A , UE3 and hCG, NT 3mmIncreased MSAFP, UE3, PAPP-A and hCG, NT 3mm  <response>: Triple test combined test: MSAFP, Unconjugated estriol E3 and hCG. Quadruple test: MSAFP, UE3, hCG, Inhibit-A Integrated test: NT, PAPP-A hCG reference: D C Duttas Textbook of obstetrics 7th edition page no 494 