DONE Embryology Flashcards

1
Q

What is the pre-embryonic period?

A

1st 2 weeks of development

  • Cleavage (forms morula)
  • Compaction (forms blastocyst)
  • Implantation
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2
Q

Where is the sperm fertilised?

A

Ampulla of Fallopian tube

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3
Q

Where is the ideal site for implantation?

A

Posterior uterine wall

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4
Q

What is cleavage?

A

In week 1
Mitotic divisions = 2 blastomeres of equal size
Zona pellucida forms

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5
Q

What is a morula?

A

When compacted blastomeres divide to form 16-cell (each cell totipotent) morula

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6
Q

What is compaction?

A

In week 1
Formation of 1st cavity + blastocyst
Segregates inner + outer cells

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7
Q

In a blastocyst, after compaction, what is the trophoblast?

A

Outer cell mass, forms epithelial wall, contributes to placenta

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8
Q

In a blastocyst, after compaction, what is the embryoblast?

A

Inner cell mass, form embryo

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9
Q

After compaction are the cells pluripotent, totipotent or multipotent?

A

Pluripotent (can become many cell types)

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10
Q

What is hatching?

A

Week 1

Blastocyst hatches from zona pellucida after compaction for implantation

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11
Q

How many cells does the blastocyst have at start of implantation?

A

100 cells, 8 make embryo, rest form fetal membranes

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12
Q

Where does implantation begin?

A

Blastocyst implants into uterine epithelium (endometrium)

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13
Q

What occurs in the week of twos?

A

2 cellular layers emerge from the outer cell mass + inner cell mass

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14
Q

In the week of twos what does the outer cell mass form?

A
Syncytiotrophoblast = multi-nucleated epithelial, transport between mother + embryo
Cytotrophoblast = inner layer mononucleated cells
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15
Q

In the week of twos what does the inner cell mass form?

A

The bilaminar disc:

  • Epiblast = columnar cells next to amniotic cavity
  • Hypoblast = cuboidal cells next to blastocyst cavity
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16
Q

By the end of 2nd week, what has occurred?

A

Conceptus has implanted

Embryo + its 2 cavities (amniotic + yolk sac) suspended (by connecting stalk) within supporting sac (chorionic cavity)

17
Q

What does implantation allow?

A

Link between maternal + fetal circulation into placenta (chorionic villus)

18
Q

What are the 2 implantation defects?

A

Ectopic pregnancy = implantation not in uterine body (mainly in fallopian tube), life-threatening
Placenta praevia = implantation in lower uterine segment, haemorrhage, C-section

19
Q

What occurs in week 2, day 9?

A

Syncytiotrophoblast form lacunae (gaps)

Primitive yolk sac forms

20
Q

What occurs in week 2, day 11?

A

Primitive yolk sac membrane pushed away from cytotrophoblast, converted to extraembryonic mesoderm

21
Q

What occurs in week 2, day 12?

A
Maternal sinusoids (capillaries) invaded by syncytiotrophoblast
Uteroplacental circulation begins
22
Q

What occurs in week 2, day 13?

A

Secondary yolk sac forms

23
Q

What occurs in week 2, day 14?

A

Chorionic cavity forms
Embryo suspended by connecting stalk (column of mesoderm, future umbilical cord)
Bleeding can be confused with menstrual (increased blood flow to lacunar spaces)

24
Q

Early pregnancy loss

A

50% zygotes lost in 1st 2-3 weeks
15% pregnancies miscarry
1% women have recurrent miscarriages (3 consecutive pregnancies)