Common Teratogens (#10) Flashcards

1
Q

Any factor, chemical or physical, that adversely affects the fertilized ovum, embryo or fetus.

A

Teratogen

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2
Q

Requirements for optimal health

A
  • sound genes
  • healthy intrauterine environment
  • strength of the teratogen
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3
Q

before implantation, zygote is destroyed or unaffected
during organogenesis very vulnerable
3rd trimester, the harm decreases

A

Timing of the insult

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3
Q

2 exceptions to timing of the insult

A

syphilis and toxoplasmosis affect the fetus during pregnancy

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4
Q

Has affinity for nervous tissue

A

lead

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5
Q

Causes limb defects

A

Thalidomide

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6
Q

Causes tooth enamel and bone deformities

A

Tetracycline

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7
Q

-Involves Sexually Transmitted Infections or systematic infections
-Viral, bacterial, protozoan
-Cause mild, flulike symptoms, but have more serious affects on fetus and newborns

A

Teratogenic Maternal Infections

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8
Q

Torch Infections include:

A

Toxoplasmosis
Syphilis
Hepatitis B virus
HIV
Rubella
Cytomegalovirus
Herpes Simplex Virus

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9
Q

Immunologic tests on the pregnant woman to identify fetal risk factors and on the newborn to detect antibodies vs the teratogens are present

A

Torch Screen

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10
Q

Torch screen normal result

A

negative

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11
Q

Positive IgM antibodies indicator of

A

recent or current infection

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12
Q

Positive IgG indicates

A

maternal antibodies crossed the placenta

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13
Q

abs mean

A

antibodies

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14
Q

How does a fetus contract toxoplasmosis?

A

Through placental connection with infected mother

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15
Q

How does a mother get affected with toxoplasmosis

A

-improper handling of cat litter
-handling or ingestion of contaminated meat

16
Q

Toxoplasmosis in infants causes ?

A

-CNS damage
-hydrocephalus
-microcephaly
-intracerebral calcification
-retinal deformities

17
Q

Medications for Toxoplasmosis

A

-Sulfonamides
-Pyrimethamine
-Spiramycin

18
Q

Maternal symptoms of rubella

A
  • mild rash
  • mild systematic illness
19
Q

Congenital rubella
Fetal damage from maternal infection

A

Deafness
Mental and Motor challenges
Cataracts
Cardiac Defects
Thrombocytopenic purpura
Dental & facial clefts

20
Q

If titer is > 1:8

A

mother is immune

21
Q

If < 1:8

A

susceptible to invasion

22
Q

A member of the Herpes Virus family that is transmitted by droplet infections from person to person

A

Cytomegalovirus

23
Q

Cytomegalovirus fetal symptoms:

A

Neurological damages
Eye damage
deafness
chronic liver disease
skin-covered with Petechiae

24
Q

Neurological damages from Cytomegalovirus

A

Hydrocephalus
Microcephaly
Spasticity

25
Q

Eye damage from Cytomegalovirus

A

optic atrophy
chorioretinitis

26
Q

Another name of Herpes Simplex Virus

A

Genital Herpes Infection

27
Q

Treatment for Genital Herpes

A

Iv Acyclovir
Oral Acyclovir (zorivax)

28
Q

Antibiotic used to treat syphilis

A

Benzathine penicillin

29
Q

Diagnosis for Syphilis

A

Serologic Screening (VDRL or Rapid Plasma Reagin)

30
Q

Newborn with syphilis

A

Congenital abnormalities
Extreme rhinitis (sniffles)
Characteristic syphilitic rash
Oddly Shaped Teeth

31
Q

Another term for Oddly shaped teeth

A

Hutchinson Teeth

32
Q

Mosquito that carried zika virus

A

Aedes aegypti

33
Q

Infection of Zika virus during pregnancy causes a birth defect called

A

Microcephaly