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65 Cards in this Set

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What renal structures are derived from the Ureteric Bud?
The collecting system, including the collecting ducts, minor and major calyces, the renal pelvis and the ureter are all derived from the Ureteric Bud.
The Renal collecting system, including the collecting ducts, minor and major calyces, the renal pelvis and the ureter are all derived from what embyonic structure?
The Ureteric Bud.
Which renal structures are derived from the Metanephric Mesoderm?
The renal glomerulus and Bowman's capsule, proximal tubule, loop of Henle, and distal tubule are all derived from the Metanephric Mesoderm
The Renal glomerulus and Bowman's capsule, proximal tubule, loop of Henle, and distal tubule are all derived from what embryonic structure?
The Metanephric Mesoderm.
What does the Third Pharyngeal Pouch give rise to?
The third pharyngeal pouch normally gives rise to the Inferior Parathyroid glands and the Thymus. Cells from these pouches migrate caudally in the embryo to the eventual location of these organs.
What structures arise from the Fourth Pharyngeal Pouch?
The Superior Parathyroid glands are derived from the Fourth Pharyngeal pouch.
What is DiGeorge syndrome? Describe the signs and symptoms. What causes this congenital disease?
DiGreorge syndrome is caused by an abnormal neural crest cell migration. The syndrome results in three types of malformations:

1) Craniofacial, including micrognathia, low-set ears, and cleft palate

2) Partial or total agenesis of the derivatives of pharyngeal of the derivatives of pharyngeal pouches of 3 and 4 (No Parathyroid hormone or Thymic tissue).

3) Cardiac anomalies, including a persistent truncus ateriosis because nerual crest cells fail to properly form the aorticopulmonary septum.
What jaw/facial skeletal and muscle structures arise out of the Second Pharyngeal Arch?
The Second Pharyngeal arch gives rise to several skeletal and muscular structures. These include the stapes, styloid process, stylohyoid ligament, a portion of the hyoid bone, the stapedius muscle, stylohyoid muscle, posterior digastric muscle, and all of the muscles of facial expression.
Is obliteration of the Second Pharyngeal Cleft a good or bad thing? What happens if this does or does not occur?
The Second Pharyngeal cleft is normally obliterated. A persistance of this cleft may result in a lateral cervical cyst, sinus, or fistula.
What structures arise out of the Second Pharyngeal Pouch?
The Second Pharyngeal Pouch gives rise to the tonsillar fossa and the palatine tonsils.
Defects in what embryonic tissues can lead to Confined placental Mosaicisim? What is the effect on the fetus?
Confined placental mosaicism is the consequence of a genetic aberration occuring in the trophoblasst or in the extraembryonic progenitor cells in the inner cell mass. The genetic abnormality (e.g. a trisomy) leads to abnormal placental development and intrauterine growth retardation. Genetic mosaicism may also be confined to the embryo or may affect both the embryo and the placenta depending on when the mutation occurs.
Myelomeningocele is associated with what two specific clinical findings? Does this result from failed closure of the rostral or caudal neuropore?
Myelomenigocele is associated with Polyhydramnios and increased Alpha Fetoprotein, which may be detected in the maternal serum or in amniotic fluid. this results from failed closure of the caudal neuropore.
Failed closure of the Rostral Neuropore in the Fetus results in what condition?
The Rostral neuropore is the opening at the head end of the embryo, and this closes at day 28. Failure to close results in Anencephaly (absence of brain formation).
What condition results from failed closure of the Caudal Neuropore in an embryo? Name the various forms of this condition.
The Caudal Neuropore is at the Distal end of the fetus and this normally closes at day 28. Failure to close results in the various forms of Spina Bifida: Spina bifida occulta, or Spina bifida with meningocoele, myelomeningocoele, or myeloschisis (open neural tube that lies on the surface of the back)
Failure of absorption of CSF by the growing fetus results in what condition. Describe the clinical findings associated with this condition.
Failure of absorption of cerebrospinal fluid by the arachnoid villi results in Normal Pressure Hyrocephalus. the ventricles are enlarge due to a lack of the final absorption step in CSF circulation, but there is not obstruction present.
What type of neoplasm might lead to the oversecretion of CSF? What condition does this oversecretion lead to?
An etiology for the oversecretion of CSF might be a Choroid Plexus Papilloma. Such a neoplasm results in communicating hydrocephalus without obstruction.
What is Rathke's Pouch and what problems does it lead to? What structures are invovled?
Rathke's Pouch is an outgrowth of oral ectoderm in which the anterior pituitary develops. Persistance of remnants of Rathke's pouch may produce a Craniopharyngioma, an often-calcified tumor in the sella turcica that frequently exhibits some symptoms through compression of the optic chiasm.
What is responsible for causing Syringomyelia? How does this condition present/what are the clinical symptoms?
The progressive cavitation of the central canal of the spinal cord causes Syringomyelia. This most commonlyl occurs in the cervical canal, but may occur in other parts of the canal, or even medulla. Early presentation is with bilateral loss of pain and temperature in the hands and forearms. With progression, lower motor neurons in the ventral horns are compressed, resulting in flaccid paralysis of the upper limb muscles.
What type of malformation will present immediately at birth with excessive oral secretions and gagging, with immediate vomiting upon feeding, with less likelihood of pneumonitis and wheezing? How would this diagnosis change if pneumonitis and wheezing were present?
The first set of conditions describe Esophageal Atresia. If pneumonitis and wheezing were present due to feeding, one would have to consider the possibility of a Tracheoesophageal fistula.
An newborn infant presenting with bilious vomit shortly after each feeding, along with evident polyhydramnios during the pregancy most likely has what condition?
This patient most likely had Annular pancreas from a bifid ventral pancreatic bud that rotates around both the right and left sides of the second part of the duodenum, causing duodenal stenosis. Neonates with this condition present with bilious vomiting and a double-bubble sign on the abdominal x-rays.
The placenta is derived from both maternal and fetal tissues. Describe the Maternal and Fetal contributions to the placenta.
Mother:
-produces the capillary bed that forms the lacunar network of the placenta.

Fetus:
-produces both the cytotrophoblast and the syncytiotrophoblast, which together from the Chorion. The earliest projections of the Chorion are called the Primary Villi that serve to maximize contact with maternal blood.
What embryonic structure gives rise to the smooth part of the right atrium (the sinus venarum), the coronary sinus and the oblique vein of the left atrium?
The Sinus Venosus gives rise to all of these structures.
The Bulbus Cordis goves rise to what parts of the adult ventricles?
The Bulbus Cordis gives rise to the smooth part of the right ventricle (conus arteriosus) and the smooth part of the left ventricle (aortic vestibule).
The Primitive Atrium gives rise to what parts of the the adult atria?
The Primitive Atrium gives rise to the trabeculated parts of the right and left atria.
The Primitive Ventricle gives rise to what parts of the adult ventricle?
The Primitive Ventricle gives rise to the trabeculated parts of the right and left ventricles.
The Truncus Arteriosus gives rise to what parts of the great vessels?
The Truncus Arteriosus gives rise to the proximal part of the aorta and the proximal part of the pulmonary artery.
The Adrena Medulla is derived from what type of embryonic tissue?
The Adrenal Medulla is derived from neural crest cells.
What are some of the adult structures that the Neural Crest Cells give rise to?
Neural Crest Cells give rise to the Adrenal medulla, cells of the spinal and cranial nerves, autonomic ganglia (the adrenal medulla is like an autonomic ganglia), melanocytes, leptomeninges, and connective tissue and bone of branchial arch origin.
The Adrenal medulla, cells of the spinal and cranial nerves, autonomic ganglia, melanocytes, leptomeninges, and connective tissue and bone of branchial arch origin are all derived from what embryonic origin?
These tissues are all derived from Neural Crest Cells.
The embryonic Ectoderm gives rise to what adult tissues and structures?
The Ectoderm gives rise to the central nervous system, the peripheral nervous system, epidermis and its appendages, mammary glands, pituitary gland, tooth enamel, and neural crest.
The central nervous system, the peripheral nervous system, epidermis and its appendages, mammary glands, pituitary gland, tooth enamel, and neural crest are all derived from what embyonic origin?
All of these tissues and structures are derived from Ectoderm.
What tissues and structures does the embryonic Endoderm give rise to?
The Endoderm gives rise to the parenchyma of the tonsils, thyroid and parathyroid glands, thymus, liver, pancreas, the epithelial lining of the GI and respiratory tracts, urinary bladder, urethra, and auditory tube.
The parenchyma of the tonsils, thyroid and parathyroid glands, thymus, liver, pancreas, the epithelial lining of the GI and respiratory tracts, urinary bladder, urethra, and auditory tube all arise from what embryonic origin?
All of these tissues and structures arise from the embryonic Endoderm.
What tissues and structures does the embryonic Mesoderm give rise to?
The Mesoderm gives rise to the Adrenal Cortex, rather than the adrenal medullla. It also gives rise to connective tissue, cartilage, bone muscle, blood and lymph vessels, the kidneys, gonads, serous membranes lining body cavities and the spleen.
The Adrenal Cortex, rather than the adrenal medullla. It also gives rise to connective tissue, cartilage, bone muscle, blood and lymph vessels, the kidneys, gonads, serous membranes lining body cavities and the spleen all arise from what embryonic origin?
All of these tissues and structures arise from the embryonic Mesoderm.
The Nucleus pulposis of the intervertebral disks in the spinal column is a remnant of what embryonic structure?
The Notochord.
A remnant of the embryonic Notochord persists in the adult spine as what structure?
The Nuclei Pulposus of the intervertebral disks in the spinal column.
What are the cell types that are derived from Neural Crest cells?
Pseudopolar cells of spinal and cranial nerve ganglia, Schwann cells, multipolar ganglion cells of autonomic ganglia, chromaffin cells of the adrenal medulla, odontoblasts, melanocytes, and cells that make the leptomeninges (pia and arachnoid).
Pseudopolar cells of spinal and cranial nerve ganglia, Schwann cells, multipolar ganglion cells of autonomic ganglia, chromaffin cells of the adrenal medulla, odontoblasts, melanocytes, and cells that make the leptomeninges (pia and arachnoid) are derived from what type of cells?
Neural crest cells.
The Neural tube gives rise to what type of cells?
Astrocytes, ependymal cell, and oligodendroglia.
Astrocytes, ependymal cells, and oligodendroglia are all derived from what embryonic tissue?
The Neural tube.
Microglia are derived from what embryonic tissue?
The Microglia appear derive from blood monocytes.
Blood monocytes give rise to what type of cells?
Blood monocytes appear to give rise to Microglia.
What are the cardiac cells that have been derived from Nerual Crest origin?
The Aorticopulmonary septum, and endocardial cushion.
What embryonic problem does Hirschsprung disease arise from?
Hirschsprung disease results from the failure of neural crest cells to form the myenteric plexus in the sigmoid colon and rectum. Adrenal medulla is another structure which arises from the same embryonic tissue.
Describe the embryonic origin of Astrocytes and Oligodendrocytes. What are other tissues derived from the same origin?
Astrocytes and oligodendrocytes are both derived from glioblasts, which, inturn, are derived from Neuroepithelial cells. Other neuroepithelial cell derivatives include neuroblasts and ependymal cells.
Name some of the neural crest cell derived tissues. Which Cranial Nerves have ganglia of neural crest origin? What are some cell types that have neural crest cell origin?
Parasympathetic and sympathetic ganglia (including the adrenal medulla), the dorsal root ganglia of the peripheral nervous system, the sensory ganglia of CNs V, VII, IX and X, and the leptomeninges (pia and arachnoid). Schwann cells, Odontoblasts, Melanocytes, and Enterochromaffin cells are all also of neural crest cell origin.
What type of cell do Neuroepithelial cells give rise to? After that cell what comes next in the lineage?
Neuroepithelial cells give rise to the earlly neural cell, "Glioblast", which gives rise to neuroglial cells including astrocytes and oligodendrocytes.
Describe the maturation from a Primordial Follicle to a Primary Follicle.
The most primitive follicles, Primordial Follicles, are inactive reserve follicles that contain primary oocytes (arrested in prophase of the first meiotic division) surrounded by a single layer of flattened follicular cells. The next stage is the Primary Follicle, which is slightly larger and contains a central oocyte surrounded by one or several cuboidal follicular cells.
Describe the maturation from a Primary Follicle to a to the Secondary Follicle. What are the differences between the two?
Primary Follicles are the next stage after primordial follicles. They are slightly larger than the primordial follicle and contain a central oocyte surrounded by one or several cuboidal follicular cells. When several small spaces in the follicular mass fuse to form the antrum (follicular cavity), the follicle is termed a Secondary Follicle.
What is a Graffian Follicle? What does it release and what does it become?
The Graafian follicle is the mature form of the follicle, which extends through the entire cortex and bulges out at the ovarian surface. After it ruptures and releases the ovum, the Corpus Luteum develops as the cells of the follicle and the Theca Interna cells enlarge, become epithelioid and secrete estrogen.
What are the Corpus Luteum, Theca interna, and the Granulosa lutein. What role do they play in ovulation?
After the Graffian follicle ruptrues and releases the ovum, the Corpus luteum develops as the cells of the follicle and the Theca interna enlarge, become epithelioid and secrete estrogen. The Granulosa lutein contain yellow pigment and secrete progesterone. If pregnancy does not occur, the Corpus luteum eventually degenerates; if pregnancy occurs, it is maintained throughout the pregnancy.
What hormone do the Theca interna cells of the Corpus luteum secrete? What hormone do the Granulosa lutein cells secrete?
The Theca interna secretes Estrogen. The Granulosa lutein secretes Prgesterone.
What stage of Meiosis is the Primary Oocyte arrested in?
The Primary Oocyte is arrested in the Prophase of Meiosis I
What stage of Meiosis is the Secondary Oocyte arrested in?
The Secondary Oocyte is arrested in Metaphase of Meiosis II
What heart abnormality will be the cause of a machine-like murmur that is two-phase, and continuous across diastole and systole?
A Patent Ductus Arteriosis.
Describe the signs and symptoms associated with a Ventricular Septal Defect. Is this a cyanotic disease? Where is the murmur heard?
VSD is a non-cyanotic heart disease. The VSD mumur is typically harsh and holosystolic, best heard at the left lower sternal border. A thrill is frequentlly associated.
What symptoms does an Aortic Valve stenosis present with? What sort of sounds come through with the murmur?
Aortic Valve Stenosis is generally a disease of the elderly population. It presents with angina, dyspnea, and syncope. There is an aortic ejection click, followed by a systolic ejection murmur in the aortic area.
What artery supplies blood to the structures derived from the embryonic Foregut? What structures are these?
The Celiac trunk arises at the level of T12 and supplies blood to all the structures of the embryonic Foregut, and the spleen (which is derived instead from a mass of mesenchymal cells). The structures that are derived from the embryonic Foregut include all the epithelial lined organs that attach to or include the esophagus, stomach, 1st and 2nd part of duodenum, exocrine pancreas, gallbladder, and liver (biliary apparatus).
What artery supplies blood to the structures derived from the embryonic Midgut? What structures are these?
The Superior Mesenteric Artery supplies the structures that are derived from the embryonic Midgut. These structures include The 2nd, 3rd, and 4th parts of the duodenum, the jejunum, ileum Cecum, appendix, ascending colon, and transverse colon (proximal two-thirds).
What artery supplies blood to the structures derived from the embryonic Hindgut? What structures are these?
The artery that supplies the structures derived from the embyonic Hindgut is the Inferior Mesenteric artery. The structures include the distal third of the transverse colon, the descending colon, sigmoid colon, rectum, and upper part of the anal canal.
What organ is involved in an Arnold-Chiari malformation? How many types are there? What are the malformations associated with each?
Arnold-Chiari malformations are congenital herniations of hindbrain structures into the spinal canal. Arnold-Chiari type I results from a downward displacement of the cerebellar tonsils; it is more common than type II, but generally asymptomatic. Type II AC involves parts of the hindbrain, cerebellar vermis and fourth ventricle herniating into the foramen. This second type is commonly associated with meningomyeloceles.
What are the CNS malformations associated with Dandy-Walker malformation?
Dandy-Walker malformation is associated with hypoplasia of the cerebellum and an enlarged fourth ventricle.
What is Holoprosencephaly?
Holoprosencephaly is a complex malformation of the brain such that only a single large monoventricular cerebral hemisphere exists.
What is another name for Agrya, or a "smooth brain", which is a condition characterized by a lack of hemispheric sulci and by severe neurological impairment.
Lissencephaly.