Embroyology Flashcards

1
Q

What is the first major system to develop in the embryo?

A

The cardiovascular system (CVS)

The early formation of the CVS is correlated with the urgent need for oxygen and nourishment.

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2
Q

During which week does primordial uteroplacental circulation develop?

A

3rd week

This development is critical for oxygen and nutrient supply to the embryo.

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3
Q

What structures appear during the 3rd week of heart development?

A

Angioblastic cords

These cords canalize to form endocardiac heart tubes.

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4
Q

What forms the tubular heart during the late 3rd week?

A

Fusion of two endocardiac heart tubes

This single primitive heart tube has a cranial (arterial) end and a caudal (venous) end.

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5
Q

When does the heart begin to beat?

A

Day 22-23

This marks the beginning of functional circulation in the embryo.

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6
Q

What separates the layers of the heart tube?

A

Cardiac jelly

The heart tube consists of myocardium, epicardium, and endocardium.

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7
Q

What are the five chambers of the primitive heart?

A
  • Truncus arteriosus
  • Bulbus cordis
  • Primitive ventricle
  • Primitive atrium
  • Sinus venosus

These structures form the initial layout of the heart.

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8
Q

What is the function of the sinus venosus?

A

Receives blood from umbilical vein, vitelline vein, and common cardinal vein

It plays a key role in venous return to the primitive heart.

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9
Q

What is the bulboventricular loop?

A

A U-shaped bend formed due to faster growth of the bulbus cordis and ventricle

This configuration aids in the proper positioning of the heart structures.

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10
Q

What forms the AV canal?

A

The junction between the primitive atrium and ventricle

This structure is crucial for future separation of the atria and ventricles.

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11
Q

What are endocardial cushions?

A

Masses of tissue that form on the dorsal and ventral walls of the AV canal

They are essential for partitioning the AV canal into right and left AV canals.

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12
Q

What is septum primum?

A

A thin, crescentic shaped membrane that grows from the roof of the primordial atrium

It contributes to the formation of the right and left atria.

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13
Q

What is foramen ovale?

A

An opening that allows right to left shunt of blood before birth

Closure occurs due to increased left atrial pressure at birth.

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14
Q

What does the left horn of the sinus venosus become?

A

Coronary sinus

The right horn is incorporated into the wall of the right atrium.

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15
Q

What is an Atrial Septal Defect (ASD)?

A

A congenital heart anomaly present in 10-15% of patients

It is more commonly observed in females than males.

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16
Q

What is the interventricular septum?

A

A muscular ridge growing from the floor of the ventricle

It partitions the left and right ventricles.

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17
Q

What is a Ventricular Septal Defect (VSD)?

A

The most common type of congenital heart defect

Occurs more frequently in males and can be small or large.

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18
Q

What is Tetralogy of Fallot?

A

An abnormality resulting from unequal division within the conotruncal region

It consists of four cardiovascular alterations.

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19
Q

What is Persistent Truncus Arteriosus?

A

A condition where conotruncal ridges fail to form

This results in no division of the outflow tract.

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20
Q

What is the respiratory diverticulum?

A

A pouch-like structure formed from the laryngotracheal groove

It is the precursor to the lower respiratory organs.

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21
Q

What occurs during the canalicular period?

A

Terminal bronchioles divide into respiratory bronchioles and alveolar ducts

This phase occurs between 17-26 weeks of gestation.

22
Q

What is the significance of the terminal sac period?

A

Intimate contact between epithelial and endothelial cells establishes the blood-air barrier

This allows for adequate gas exchange if the fetus is born prematurely.

23
Q

What is tracheoesophageal fistula?

A

An abnormal connection between the lower esophagus and the trachea

It results from improper division of the foregut.

24
Q

What terminates in a cluster of thin-walled terminal sacs?

A

Bronchiole

25
Q

When do about 95% of alveoli develop?

A

Postnatally

26
Q

What is a tracheoesophageal fistula?

A

An abnormal connection between the lower oesophagus and the trachea

27
Q

What causes a tracheoesophageal fistula?

A

Improper division of the foregut by the tracheoesophageal septum

28
Q

What is unilateral pulmonary agenesis?

A

Agenesis of lungs compatible with life

29
Q

Where is an accessory lung typically located?

A

At the base of the left lung

30
Q

What separates the thoracic from the abdominal cavities?

31
Q

From how many embryonic components does the diaphragm develop?

32
Q

What are the embryonic components that contribute to diaphragm development?

A
  • Septum transversum
  • Pleuroperitoneal membrane
  • Dorsal mesentery of esophagus
  • Body wall
33
Q

What part of the diaphragm does the septum transversum form?

A

Central tendon

34
Q

What does the dorsal mesentery of the esophagus form?

A

Right & left crus

35
Q

What part of the diaphragm is formed by muscular ingrowth from the lateral body wall?

A

Posterolateral part (costal part)

36
Q

What does the pleuroperitoneal membranes form in the diaphragm?

A

Small portion of diaphragm

37
Q

At what week does the septum transversum appear as a mass of mesodermal tissue?

38
Q

What happens to the septum transversum at the 4th week?

A

Moves ventrocaudally forming a thick incomplete partition between thoracic & abdominal cavities

39
Q

What connects to the diaphragm at the 6th week?

A

Dorsal mesentery of esophagus, pleuroperitoneal membranes, and body wall

40
Q

Which somites contribute myoblasts to the diaphragm?

A

3rd, 4th, & 5th somites

41
Q

What nerve is formed from the nerve fibers of the 3rd, 4th, & 5th cervical nerves?

A

Phrenic nerve

42
Q

What type of supply does the diaphragm receive from the phrenic nerve?

A

Both motor & sensory supply

43
Q

Which nerves provide sensory fibers to the part of the diaphragm derived from the lateral body wall?

A

Lower intercostal nerves

44
Q

What is a congenital diaphragmatic hernia?

A

A posterolateral defect of diaphragm (foramen of Bochdalek)

45
Q

What causes a congenital diaphragmatic hernia?

A

Defective formation and/or fusion of pleuroperitoneal membrane with other parts of diaphragm

46
Q

What is the effect of a congenital diaphragmatic hernia?

A

Herniation of abdominal contents into thoracic cavity

47
Q

What is eventration of diaphragm?

A

Half of diaphragm has defective muscles and balloons up into chest cavity

48
Q

What occurs as a result of eventration of diaphragm?

A

Superior displacement of abdominal viscera

49
Q

What is a congenital hiatal hernia?

A

Rare; abdominal viscera herniate through a large esophageal hiatus

50
Q

What happens if the esophagus is shorter than normal?

A

Part of stomach may appear in the thorax and be constricted

51
Q

What is a retrosternal or parasternals hernia?

A

A rare defect between sternum and sternocostal parts of diaphragm