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92 Cards in this Set

  • Front
  • Back
After fertilization, what is the term given to the collection of cells that is implanted?
* Blastocyst (Day 5)
What is the rule of 2's for the 2nd week of development?
* 2 germ layers (bilaminar disc): epiblast and hypblast

2 cavities: yolk sac and amniotic cavity

2 placental components: syncia and cytotrophoblast
What is the rule of 3's for the 3rd week?
* 3 germ layers: ecto, endo, and mesoderm
What is the rule of 4's for the 4th week?
* 4 heart chambers and 4 limb buds
General things that the ectoderm forms:
* Brain/Neuro stuff
General things the endoderm forms:
* Gut/GI stuff (lungs, liver, pancreas, thymus, para/thyroid, etc.)
General things the mesoderm forms:
* Connective tissues (dura, muscle, bone, cardio, lymphatics, blood, urogential structures, serous linings, spleen, adrenal cortex, kidneys)
Teratogen that would cause "flipper limbs":
* Thalidomides
Most common meds/substances that can cause birth defects:
* EtOH, ACE inhibitors, Cocaine, DES, iodide, vitamin A, thalidomide, tobacco, and warfarin/x-rays/anticonvulsants
Leading cause of congenital malformations in the USA:
* EtOH (Fetal alcohol syndrome)
How many placentas and amniotic sacs are seen with monozygotic and dizygotic twins?
* Mono = 1 placenta, 2 amnio sacs, 1 chorion

Dizygotes = 2 placenta, 2 amnio sacs, 2 chorions
The maternal component of the placenta is ______ and it is derived from _________.
* Maternal component is DECIDUA BASALIS and is derived from ENDOMETRIUM
What are the main structures seen in the umbilical cord?
* 2 umbilical arteries (deox blood), 1 umbilical vein (ox blood), and 1 urachus (waste removal)
In the umbilical cord, there are 2 of these structures that carry de-oxygenated blood:
* 2 umbilical arteries (the umbilical vein carries the oxygen to the baby)
The umbilical arteries/vein are all derived from _______ which the urachus connects to the fetal bladder.
* Allantois
The embryologic truncus arteriosis gives rise to:
* Ascending aorta and pulmonary trunk
The septum secundum will eventually contain this permanent opening in the fetus:
* Foramen ovale
The septum primum will form this part of the foramen ovale:
* The valve of the foramen ovale
Pneumonic to remember fetal erythropoiesis:
* Young Liver Synthesizes Blood

(Y)olk sac (3-8wks)
(L)iver (6-30wks)
(S)pleen (9-28wks)
(B)one marrow (28wk onward)
What are the components of fetal hemoglobin?
* alpha2/gamma2
3 important shunts in fetal life:
* Ductus venosus (umbilical vein to IVC)

Foramen Ovale (IVC on to aorta and body)

Ductus Arteriosis (SVC/pulm artery to lower body of fetus)
When increased left atrial pressure in an infant closes the foramen ovale it is called the:
* Fossa ovalis
This substance would help keep open a PDA:

This substance would help close a PDA:
* Keeps open PDA = prostaglandin

Closes PDA = Indomethacin
The umbilical vein and umbilical artery becomes these adult structures:
* Umbilical vein = ligamentum teres hepaticus

Umbilical artery = medial umbilical ligament
The ductus arteriosus and ductus venosus become what adult structures:
* DA = ligamentum arteriosum

DV = ligamentum venosum
What does the allantois/urachus become in an adult:
* Median umbilical ligement
What does the notochord become in the adult:
* The nucleus pulposus of discs
1st aortic arch is associated with what artery:
* 1st arch is MAX-- maxillary artery
The 2nd aortic arch is associated with what arteries:
* 2nd is Stapedial-- stapedial and hyoid arteries
The 3rd aortic arch is associated with what artery:
* C is 3rd letter in the alphabet-- Carotid
The 4th aortic arch is associated with:
* 4th is systemic= aortic arch and right subclavian
The 6th aortic arch is associated with:
* 6th = pulmonary and ductus arteriosus
What layers do clefts, arches, and pouches, give rise to?
* CAP (outer to inner)

Cleft = Ectoderm (outer)
Arch = Mesoderm
Pouch = Endoderm
What is derived from Branchial Arch 1?
* 1st Arch = M's

Meckels cartilage, Muscles of mastication, and nerves CN V2 and V3
What is derived from Branchial Arch 2?
* 2nd Arch = S's

Stapes, Styloid, Stapedius muscle, Stylohyoid muscle, and nerve CN 7 (Facial)
What is derived from Branchial Arch 3?
* 3rd Arch = CN 9 (glossopharyngeal)

Stylopharyngeus and the nerve that innervates it: CN IX (glossopharyngeal)
These 2 arches form the posterior 3rd of the tongue:
* Arches 3 and 4
The 6th arch gives rise to:
* All intrinsic muscles of the larynx (except the cricothyroid)
The 4th and 6th arch give rise to what to branches of CN X (vagus)?
* 4th arch = CN X Superior laryngeal

6th arch = CN X Recurrent laryngeal
The external auditory meatus is derived from what cleft?
* the 1st branchial cleft
Problems with formation of these 2 pouches leads to DiGeorge syndrome:
* Pouches 3 and 4
What do the 3rd and 4th pharyngeal pouches form?
* 3rd pouch = inferior parathyroids and thymus

4th pouch = superior parathyroids
What does the 2nd pouch form?
* the palantine tonsils
What does the 1st pouch form?
* middle ear cavity, eustacian tube, and mastoid air cells
Taste on the anterior 2/3 of the tongue is from what cranial nerve?
* CN 7 (facial nerve)
Taste AND sensation on the posterior 1/3 of the tongue is from this cranial nerve:
* CN 9 (glossopharyngeal)
Motor innervation of the tongue is by what nerve:
* CN XII (hypoglossal)
What is the normal remnant of the foramen cecum?
* The thyroglossal duct
Failure of fusion of the maxillary and medial nasal processes is:
* Cleft lip
Failure of fusion of the lateral palantine processes, the nasal septum, and/or the medial palantine processes is:
* Cleft palate -- if a palantine process is involved it is cleft PALATE
Pneumonic for remembering what forms the diaphragm:
* Several Parts Build Diaphragm

(S)eptum transversum
(P)leuroperitoneal folds
(B)ody wall
(D)orsal mesentery of esophagus
What parts of the pancreas is derived from the ventral pancreatic bud?
* Pancreatic head, uncinate process, and main pancreatic duct
The foregut runs from where to where?
* Pharynx to duodenum
The midgut runs from where to where?
* Duodenum to transverse colon
The hindgut runs from where to where?
* Distal transverse colon to rectum
Is Meso or Metonephros a permanent part of kidney embryology?
* META-nephros is permanent
What is derived from the UG sinus?
* Bladder, urethra, allantois
What gene on the Y-chromosome codes for testis-determining factor?
* the SRY gene
What substance in males suppresses the paramesonephric ducts and stimulates development of the wolffian duct (mesonephric duct)?
* Mullerian inhibiting substance
What does the paramesonephric duct (mullerian duct) give rise to?
* Fallopian tubes, uterus, and part of vagina
What does the mesonephric (wolffian duct) give rise to:
* SEED

(S)eminal vesicles
(E)pididymis
(E)jaculatory duct
(D)uctus deferens

-- doesn't give rise to the prostate
What male/female structures are derived from the genital tubercle?
* the glans penis/clitoris
What gives rise to the prostate gland?
* the UG sinus
Does the UG sinus give rise to the scrotum and labia majora?
* No
In what phase of the cell cycle are oocytes arrested in?
* Metaphase II
What are the 2 types of ectopic cells found in a meckels diverticulum?
* Gastric and pancreatic cells
Sertoli cells are found INside the tubules and secrete:
* Mullerian inhibiting substance

(Leydig cells are outside the tubules and secrete Testosterone)
What part of the sperm is derived from the golgi apparatus?
* the Acrosome
Most common implantation site in an ectopic pregnancy:
* Ampulla of the uterine tube
Primary site of testicular cancer metastasis:
* Para-aortic and lumbar lymph nodes
Only muscle from the 3rd pharyngeal arch is:
* The stylopharyngeus (which elevates the pharynx/larynx) it is innervated by the CN IX (glossopharyngeal nerve)
This vessel gets in the way when there is a congenital horse-shoe kidney:
* the Inferior mesenteric artery
Coarcation of the aorta is frequently seen with this genetic picture:
* Turners syndrome (XO)
Most common congenital cardiac anomaly that is heard as a holosystolic murmur:
* VSD
Cardiac anomaly often associated with a maternal rubella infection:
* PDA
How many branchial pouches are there, and which does they thymus come from?
* 4 branchial pouches and the thymus is from the 3rd pouch (along with the inferior parathyroids)
Failure of the aorticopulmonary septum to spiral results in:
* Transposition of the great vessels
The cricothyroid muscle of the larynx is derived from what branchial arch?
* Arch 4
Moms are most susceptible to teratogens during what time span?
* 3rd through the 8th week
An infant with small jaw, low set ears, and CLENCHED fists think:
* Trisomy 18 (Edward's syndrome)
A pt with a PDA would have a defect from what branchial arch?
* Arch 6
Increased maternal alpha-fetoprotein levels are associated with:
* Neural tube defects
Oligohydraminos are associated with what conditions?
* Bilateral renal agenesis
This is the origin of the smooth parts of the right/left ventricles of the heart:
* the Bulbus cordis
Polyhydraminos are often seen with this condition:
* Transesophageal fistula
95% of patients with cystic fibrosis are infertile d/t what developmental anomaly?
* Improper development of the mesonephric ducts (wolffian ducts)
A mom who has a kid with microcephaly, a blueberry muffin rash, and hearing/sight impairment, probably had what infection?
* CMV infection
Rubella infection often predisposes an infant to what cardiac anomaly?
* PDA
A child with a large sacral tumor composed of many cell types has:
* A sacrococcygeal teratoma (persistence of the primitive streak)
A kid with Arnold-Chiari malformation will have loss of what sense?
* Pain (a syringomyelic syndrome)
From birth to puberty, ooctyes are arrested at what stage?
* Prophase of Meiosis I
Placental component that is maternal:
* Lacunar network