Congenital Metabolic Disorders Flashcards
the transformation of the simple three germ layers into distinct organs
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
Organogenesis
The layer nearest the amniotic cavity
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
ectoderm
the inner layer, closer to the blastocyst cavity
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
endoderm
the middle layer of the embryo
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
mesoderm
Cells in the ________ become skin, nervous tissue, or parts of certain glands.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
ectoderm
_______ cells form parts of the liver and pancreas and the linings of many organs.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
endoderm
The middle layer of the embryo, the __________, forms many structures, including muscle, connective tissues, the reproductive organs, and the kidneys.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
mesoderm
During week 3, a band called ___________ appears along the back of the embryo
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
primitive streak
By week __, all the organs that will be present in the newborn have begun to develop.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
week 8
During the _____, body proportions approach those of a newborn
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
fetal period
sex organs become more distinct by week __
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
week 6
by week __, it begins to suck thumb, kicks, makes fists and faces, and has the beginnings of teeth
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
week 12
vocal cords will be formed by ___ weeks
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
18 weeks
By the end of the ________, the woman may feel district kicks and jabs and may detect fetal hiccup.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
second trimester
In the ________, fetal brain cells link into networks as organs elaborate and grow, fat fills out the skin.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
final trimester
the _______ trimester is the most crucial for the baby’s development.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
first trimester
The cardiovascular and digestive systems mature last. True or False
False - digestive and respiratory system
The time when genetic abnormalities, toxic substances, or viruses can alter a specific structure, is __________
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
critical period
Most birth defects develop during the ________ and much severe.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
embryonic period
A procedure to detect if a newborn has congenital metabolic disorders that may lead to mental retardation or death.
CHOICES:
primitive streak, embryonic period, fetal period, week 12, week 14, week 10, week 8, week 6, 18 weeks, first trimester, second trimester, final trimester, mesoderm, endoderm, ectoderm, Organogenesis, critical period, Newborn screening
Newborn screening
Most newborns with congenital disorders look normal at birth. True or False
False - metabolic disorders
In newborn screening, the blood sample is collected within the first 24 hours of life in term newborns. True or False
True
If the result is positive, it will undergo confirmatory testing. True or False
True
Phenylketonuria is the most commonly diagnosed newborn screening disorder. True or False
False - G6PD
G6PD is onset after being exposed to triggering factors. True or False
True
a butterfly-shaped organ that produces thyroid hormones.
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
Thyroid gland
produces hormones such as epinephrine or adrenaline, cortisol, and aldosterone. Aldosterone helps reabsorb sodium.
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
Adrenal gland
____________________ is important for the conversion of it into Tyrosine
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
Phenylalanine
_________ is converted to glucose for energy storage (glycogen) and energy production
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
Galactose
it protects RBCs from damage and premature destruction
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
G6PD
The enactment of the NBS of 2004
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
April 6, 2004
The signing of the implementing rules and regulation of RA 9288
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
October 5, 2004
The most common cause is the shortage of iodine in the diet of the mother during pregnancy
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital hypothyroidism
Missing or lack of phenylalanine hydroxylase
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Phenylketonuria
Its clinical manifestation develop a few days to 2 weeks after initiation of milk feedings
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Galactosemia
Autosomal recessive and has a deficiency in 21-hydroxylase
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital Adrenal Hyperplasia
Hemolytic anemia
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
G6PD deficiency
Mutations in genes BCKDHA in chromosome 19, BCKDHB in chromosome 6, and DBT in chromosome 1
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Maple syrup urine disease
The most severe type of galactosemia
CHOICES:
Phenylalanine, G6PD, April 6, 2004, July 11, 2004, October 5, 2004, Type 1, Type 2, Type 3, Galactose, Adrenal gland, Thyroid gland
Type 1
The genes that are affected - Galactose-1-phosphate uridyltransferase (GALT), Galactokinase 1 (GALK1), UPD-Galactose-4-epimerase (GALE)
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Galactosemia
CYP21A2 gene is affected
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital Adrenal Hyperplasia
Its first effects are usually seen around 6 months of age
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Phenylketonuria
Clinical Manifestations:
- sweet-smelling urine
- erratic behavior and moods - hallucinations
- anorexia
- seizures
- toxic substances accumulate, triggering the chemoreceptors, making you vomit
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Maple syrup urine disease
Clinical Manifestations:
- Pallor
- extreme tiredness
- rapid heartbeat and breathing
- jaundice
- splenomegaly
- tea-colored urine
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
G6PD deficiency
Clinical Manifestations:
- poor suck
- vomiting
- occasionally diarrhea
- jaundice
- lethargy
- weakness
- coma
- septicemia
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Galactosemia
Clinical Manifestations:
- Vomiting
- Hyperactivity
- Seizures and hypertonia
- Musty or mousy urine odor
- Light hair and skin color
- Seborrheic or eczematoid
- rash
- Mental retardation
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Phenylketonuria
Clinical Manifestations:
- increased pigmentation
- ambiguous genitalia in female infants
- poor suck
- weak cry
- vomiting
- excessive urination
- dehydration
- irritability and seizures
- failure to thrive
- hypotension
- shock
- coma
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital Adrenal Hyperplasia
Early Manifestations:
- Prolonged jaundice
- Inactive defecation
- Umbilical hernia
- Hypotonia
Late Manifestations:
- Mental retardation
- Growth retardation
- Delayed skeletal maturation
- Delayed dental development and tooth eruption
- Delayed puberty
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital hypothyroidism
1 in 2,000 to 4,000 newborns are affected
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital Hypothyroidism
abnormal sex organs such as large clitoris or there is a small appearance of small penis and closed labial folds
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital Adrenal Hyperplasia
Treatment includes complete avoidance of food containing high amounts of phenylalanine
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Phenylketonuria
Treatment includes a low galactose/lactose diet
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Galactosemia
sporadic
CHOICES:
Maple syrup urine disease, G6PD deficiency, Congenital Adrenal Hyperplasia, Congenital hypothyroidism, Phenylketonuria, Galactosemia
Congenital Hypothyroidism
If there is no phenylalanine defect, there would be a production of tyrosine and later becomes melatonin. True or False
False - melanin
Hormone replacement therapy and surgery is a treatment for G6PD deficiency. True or False
False - Congenital Adrenal Hyperplasia
A 2-week-old infant’s digestive system cannot tolerate and break down galactose. True or False
True
The first effects of PKU are usually seen around 3 months of age. True or False
False - 6 months
Pentose phosphate pathway converts glucose into another sugar. True or False
True
production of progesterone is blocked thus, females with CH
have male sex characteristics. True or False
False - CAH
Patients with CH has a skin that is rough and dry. True or False
True