chapter 60 Flashcards

1
Q

Anencephaly may result from syndrome such as..?

A
meckel-gruber 
chromosomal abnormality (trisomy 13/18)
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2
Q

Anencephaly means?

A

absence of brain

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3
Q

Acrania or exencephaly means?

A

absent of the cranial bones, with presence of complete although abnormal, development of the cerebral hemispheres.

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4
Q

Acrania/exencephaly is occured during which stage?

A

4th gestational week, when mesenchymal tissue fails to migrate -no bone formation

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5
Q

cephalocele meaning ?

A

neural tube defect in which the meaning alone or the meaning and brian herniate through a defect in the calvarium.

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6
Q

Encephalocele means?

A

herniation of meninges and brian

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7
Q

cranial meningocele means?

A

herniation of only meninges

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8
Q

cephalocele most commonly involve which bone ?

A

occipital bone

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9
Q

spina bifida means?

A

wide range of vertebral defects that result from failure of neural tube closure

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10
Q

spina bifida commonly occurs ?

A

lumbar and sacral region. but also anywhere along the vertebral column

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11
Q

the increase intake of folic acid to cereal grain products are good for decreasing the outcome of which defect?

A

spina bifida

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12
Q

when the spine is covered with skin or hair it is known as

A

spina bifida occulta

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13
Q

the meninges and neural elements protrude through the defect.

A

meningomyelocele ( AKA spina bifida )

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14
Q

if a defect is very large and severe it is called

A

rachischisis

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15
Q

fetuses with myelomeningoceles often present with ..?

A

cranial defects -associated with Arnold-Chiari malformation

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16
Q

Fetal goiter

A

Homogenous mass arising from the anterior fetal neck. It is associated with maternal thyroid disease.

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17
Q

Nuchal translucency

A

Between 11 and 13 weeks, 6 days.

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18
Q

Cystic hygroma

A

Lymphatic obstruction

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19
Q

Epignathus

A

Swallowing may be impaired

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20
Q

Nasal triad evaluation

A

Nostril symmetry, nasal septum integrity, continuity of upper lip (no cleft lip).

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21
Q

Craniosynostosis

A

premature closer of the cranial bone

22
Q

The absence of the cavum septum pellucidium is a distinguishing characteristic of which one of the following fetal anomalies?

A

Agenesis of the corpus callosum

23
Q

A form of holoprosencephaly characterized by a common ventricle, hypotelorism, and a nose with a single nostril is which one of the following?

A

Cebocephaly

24
Q

Which one of the following fetal head anomalies is characterized by the presence of a single primitive ventricle?

A

Holoprosencephaly

25
Which one of the following abnormalities is the most common open neural tube defect?
Anencephaly
26
Which of the following signs are characteristic of the Arnold-Chiari malformation?
Banana- and lemon-shaped
27
An open spinal defect characterized by a protrusion of meninges and spinal cord through the defect, usually within a meningeal sac, is called which one of the following?
meningomyelocele = both spine and meninges protrude
28
Which one of the following abnormalities is described as the congenital absence of the cerebral hemispheres resulting from an occlusion of the carotid arteries. The midbrain structures are present, and fluid replaces cerebral tissue.
Hydranencephaly
29
strawberry sign is in association with which trisomy?
trisomy 18
30
Dandy-Walker malformation (DWM) manifest ?
with agenesis or hypoplasia of the cerebellar vermis with dilation on 4th ventricle and enlargement of the posterior fossa.
31
development of the cerebellar vermis begins during which week? and completed during?
9th week of gestation begins and completed 18th
32
DWM is associated with which chromosomal anomalies?
trisomines 13,18, 21, and triploidy
33
holoprosencephaly three forms of from most severe to less.
1. alobar 2. semilobar 3. lobar
34
alobar holoprosencephaly is?
singular monoventricle brian tissue that is small and may have a cup, ball, or pancake configuration. fusion of the thalamus
35
semilobar holoprosencephaly
singular ventricular cavity with partial formation of occipital horns, partial/complete fusion of thalamus
36
lobar holoprosencephaly
almost complete division of the ventricles is seen with corpus callosum that may be normal, hypoplastic, or absent
37
holoprosencephaly varies but most specifically with which trisomy?
trisomy 13
38
holoprosencephaly facial anomalies?
cyclopia, hypotelorism, absent nose, flattened nose with a single nostril and proboscis
39
Cebocephaly consists of ?
combination of hypotelorism with normally placed nose with single nostril.
40
What has a fibrous tract that connects the cerebral hemispheres and aids in the learning and memory?
corpus callosum
41
corpus callosum beings to develop at what gestation week? and is completed by?
the 12th week and completed by 20th week
42
Chromosomal anomalies that may accompany agenesis of the corpus callosum include?
trisomies 21, 13, and 18 and triploidy
43
Aqueduct of sylvius connects which ventricles?
the 3rd and 4th,
44
vein of galen aneurysm is what kind of malformation?
arteriovenous malformation
45
vein of galen is dominate in male or females
males
46
cerebrospinal fluid and cellular debris that have been become trapped within the neuroepithelial folds.
choroid plexus cysts
47
which cysts fills with cerebrospinal fluid that communicate with the ventricular system or subarachnoid space?
porencephalic cysts
48
porencephalic cysts
hemorrhage, infarction, delivery trauma, inflammatory changes in the nervous system.
49
Schizencephaly is characterized by?
slits or clefts in the cerebral cortex.
50
Schizencephaly is result from?
abnormal migration of neurons, can extend from the ventricle to outer surface of the brain and are lined with abnormal gray matter.
51
Hydranencephaly is characterized by destruction of ?
destruction of the cerebral hemispheres by occlusion of the internal carotid arteries.