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68 Cards in this Set
- Front
- Back
Sonic hedgehog gene
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Involved in patterning along anterior-posterior axis.
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Wnt-7 gene
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Necessary for proper organization along dorsal-ventral axis
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FGF gene
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Provides for lengthening of limbs
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Week 1 fetal landmark
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hCG secretion after implantation of blastocyst
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Week 2 fetal landmark
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Bilaminar disk (epi and hypoblast)
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Week 3 fetal landmark
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Gastrulation (formation of 3 layers)
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Weeks 3-8 fetal landmarks
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Embryonic period.
Neural tube closes. Organogenesis --> susceptible to teratogens. |
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Week 4 fetal landmark
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Heart begins to beat.
Upper and lower limb bud form. |
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Week 8 fetal landmark
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Fetal period.
Fetal movement. Looks like a baby. |
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Week 10 fetal landmark
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Genitalia have male/female characteristics
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Rule of 2's for the 2nd week
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2 germ layers (bilaminar disk - epi and hypoblast)
2 cavities: amniotic sac and yolk sac 2 components to placenta: cytotrophoblast, synctiotrophoblast |
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Rule of 3's for the 3rd week
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Gastrulation - 3 germ layers
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Rule of 4's for 4th week
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4 chambers of the heart
4 limb buds grow |
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Embryologic derivatives of surface ectoderm
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Adenohypophysis (Rathke's pouch)
Lens of eye Epithelial lining of the oral cavity Ear sensory organs Retina Olfactory epithelium Sweat, tear, mammary glands |
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Embryologic derivative of neuroectoderm
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Brain
Retina Spinal Cord |
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Embryologic derivative of neural crest
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ANS
Dorsal root ganglia CNs Celiac ganglion Schwann Cells Parafollicular cells of thyroid Chromaffin cells of adrenal medulla Pia and arachnoid mater Aorticopulmonary septum |
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Embryologic derivatives of endoderm
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Gut tube epithelium and derivatives
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Embryologic derivatives of mesoderm
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Muscle
Bone CT Serous lining of body cavities (peritoneum) Spleen CV structures Lymphatics Blood Urogenital/kidneys/adrenal cortex |
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Name the key mesodermal defects
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VACTERL
Vertebral defect Anal atresia Cardiac defects Tracheo-Esophageal Fistulas Renal defects Limb defects |
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What is the post-natal derivative of the notochord?
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Nucleus pulposus
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ACE-inhibitors
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renal damage
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EtOH
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Leading cause of birth defects and metnal retardation
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Alykylating agents
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Absence of digits
Multiple anomalies |
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Aminoglycosides
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CN 7 abnormality
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Cocaine
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Abnormal fetal development
Fetal addiction Placental abruption |
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DES
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Vaginal clear cell adenocarcinoma
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Folate antagonists
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NTD
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Iodide (lack or excess)
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Congenital goiter
Hypothyroidism |
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Lithium
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Ebstein anomaly
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Maternal diabetes
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Caudal regression syndrome (hypoplasia of sacrum)
Anal atresia Sirenomelia (mermaid syndrome) |
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Smoking
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Preterm labor
Placental problems IUGR ADHD |
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Tetracyclines
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Stained teeth
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Thalidomide
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Limb defects (flipper limbs)
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Valproate
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Decreases intestinal absorption of folate
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Vitamin A excess
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Spontanous abortions
Birth defects |
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Warfarin
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Bone deformities
Fetal hemorrhage Abortion |
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Fetal Alcohol Syndrome
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Leading cause of congenital malformations and mental retardation in US
Microcephaly Holoprosencephaly Facial abnormalities Limb dislocation Heart and lung fistula |
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What day is the chorion formed?
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Day 3
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What day is the amnion formed?
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Day 8
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Monozygotic twins, how many:
Amniotic sacs Placenta Chorion |
2 amniotic sacs
1 placenta 1 chorion *could also have 1 amniotic sac, 1 placenta, 1 chorion --> increased chance of conjoined twins |
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Dizygotic twins, number of
Amniotic sacs Placenta Chorion |
1 of each
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When does a dichorionic, diamniotic, 2 placenta form?
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Before day 3 (when the chorion forms)
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When does a monochorionic, diamniotic, placenta form?
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Between day 3 and day 8, before the amnion has formed.
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When does a monochorionic, monoamniotic, placenta form?
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After day, after amnion has formed.
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Function of placenta
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Primary site of nutrient and gas exchange between the mother and the fetus
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Fetal components of the placenta
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Cytotrophoblast - inner layer of chorionic villi. Makes cells.
Synctiotrophoblast - outer layer. Makes hCG (similar to LH, stimulates corpus luteum to secrete progesterone in 1st trimester |
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Maternal component of the placenta
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Decidua basalis. Derived from endometrium. Maternal blood in the lacunae.
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Components of the umbilical cord
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2 umbilical arteries (carry deoxygenated blood away from baby via fetal iliac arteries)
1 umbilical vein (carries oxygenated blood to baby) Urachus (canal that drains urine from fetal bladder) Wharton's jelly Amniotic epithelium |
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Urachus develops from?
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Allantois
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Failure of urachus to obliterate results in 2 abnormalities
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1. Patent urachus: urine discharge from umbilicus
2. Vesicourachal diverticulum - outpouching of bladder |
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What is the vitelline duct and when is it obliterated?
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Connects yolk sac to the midgut.
7th week |
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Vitelline duct abnormalities
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Vitelline fistula: failure of duct to close --> meconium discharge from umbilicus.
Meckel's diverticulum: partial closure, with patent portion attached to ileum. Melena and RUQ pain. |
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Proencephalon is composed of
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Telencephalon and Diencephalon
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Telencephalon becomes
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cerebral cortex and lateral ventricles
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Diencephalon becomes
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Thalamus, etc. and 3rd ventricles
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Mesencephalon becomes
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midbrain
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Rhombencephalon is composed of
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Metencephalon and Myelencephalon
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Metencephalon becomes
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Pons and Cerebellum and Aqueduct
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Myelencephalon becomes
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Medulla and 4th ventricles
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Neural tube defects
1. results from 2. serum labs 3. CSF results |
1. persistent connection between amniotic cavity spinal canal
2. increased AFP 3. Increased AFP and AChE |
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Spina bifida occulta
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Failure of bony spinal canal to close, no structural herniation. See tuft of hair.
Lower vertebral levels. Dura is intact. |
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Meningocele
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Herniation of meninges through bony spinal canal defect.
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Myelomeningocele
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Herniation of meninges and spinal cord through bony spinal canal defect.
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Anencephaly
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Malformation of anterior end of neural tube.
No brain. Elevated AFP and polyhydroamnios (since there is no swallowing center in the brain) |
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Holoprosencephaly
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decreased separation of hemispheres across midline.
Associated with Patau's syndrome, FAS, cleft lip/palate |
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Arnold-chiari type II
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cerebellar tonsillar herniation through foramen magnum
aqueductal stenosis hydrocephaly often presents with syringomyelia, myelomeningocele |
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Dandy-walker
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Large posterior fossa.
Absent cerebellar vermis with cystic enlargement of the 4th ventricle. Can lead to hydrocephalus and spina bifida. |
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Syringomyelia
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Enlargement of central spinal canal of SC.
Affects anterior commissure. Seen in Arnold-Chiari II malformations. Common C8-T1. |