Birth Defects Flashcards

1
Q

What birth defects has the highest occurrence?

A

congenital heart defects

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2
Q

What is the name of the multisystem disease caused by a single gene mutation, that is primarily an eye disorder?

A

axenfield-rieger syndrome

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3
Q

What is mutated in axenfield rieger?

A

PTIX2 and FOXC1

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4
Q

What is holopresencephaly?

A

incomplete division of forebrain into right and left hemispheres

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5
Q

what causes holopresencephaly

A

MANY things

  • chromosome abnormalities
  • environmental factors - maternal diabetes
  • single gene mutations - SHH pathway

…just to name a few

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6
Q

What are three common effects of rubella infection during pregnancy?

A
  1. microcephaly
  2. patent ductus arteriosus
  3. cataracts
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7
Q

T/F: Dosage and duration of a drug during pregnancy don’t matter, the effects are always the same

A

NO0O0O0O false

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8
Q

What are two proposed mechanisms of action for thalidomide?

A
  1. may interact with angiogenesis

2. may induce oxidative stress

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9
Q

What is a teratogen?

A

agent that causes a birth defect

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10
Q

Thalidomide is linked to what defect?

A

limb defects - phocomelia

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11
Q

When is the most sensitive period for inducing birth defects ?

A

3-8 wks of embryogenesis

-most organ systems are starting to develop

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12
Q

What is the leading cause of congenital mental retardation?

A

alcohol

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13
Q

What are some defects associated with fetal alcohol syndrome?

A

microcephaly
indistinct philtrum
narrow upper lip
low nose bridge

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14
Q

taking antidepressants during pregnancy has a low risk associated with what birth defect?

A

septal heart defects

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15
Q

congenital heart defects are associated with what?

A

laterality defects

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16
Q

In a patient with a 22q11.2 deletion, what birth defects are usually seen?

A

heart defects in outflow tracts:
tetralogy of fallot
truncus arteriosus

17
Q

what occurs in tetralogy of fallot?

A
  1. ventricular septal defect
  2. pulm stenosis
  3. overriding aorta
  4. ventricular hypertrophy
18
Q

What transcription factors are associated with cardiac neural crest development?

A

tbx1 activation of FGF8