Embryology Flashcards

1
Q

What is the method of closure of a PDA in preterm and term infants?

How would you keep a PDA open?

A

Preterm - indomethasin (NSAIDs)
Term - surgical closure

Keep open with prostaglandins

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1
Q

How many oocytes are present in the ovaries in a 20 week fetus, at birth and at puberty

A

6 million
1 million
300,000

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2
Q

What is the innervation to the foregut, midgut and hindgut?

What is the blood supply to each?

A

FOREGUT - T5-9 - coeliac trunk

MIDGUT - T10-11 - superior mesenteric

HINDGUT - T12-L1 - inferior mesenteric

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3
Q

Describe meiosis

A

Start with a cell which has 23 pairs of chromosomes. One chromosome of each type from mum and one from dad.

Meiosis 1:
- Each chromosome replicates so there are 46 PAIRS.
- During prophase there is CROSSING OVER - which means some of the genetic material is echanged between chromatids form mum and dad
- If we consider chromosome 1 there is now 4 copies of this, 2 from mum and 2 from dad
- In the separation of the cell the two from mum go to one cell and the two from dad go to the other

Meiosis 2:
- No copying of the chromosomes occurs
- Each pair of chromosomes is separated
- So you end up with 1 chromatid 1 in each cell, they are all genetically different because of the crossing over that occurs

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4
Q

What do each of the germ cell layers lead to?

A

ECTODERM: EXTERNAL STUFF AND NEURO
- Skin
- Brain
- Glands
- Nails
- Teeth

Neural tube: CENTRAL STUFF
- Brain
- Spinal cord
- Pituitary

Neural crest: EXTERNAL STUFF
- peripheral nervous system
- Medulla

ENDODERM: INSIDE ORGANS
- Lining of whole gut tube (apart from bits you can touch)
- Lungs and trachea and thyroid
- Bladder
- Liver/pancreas/stomach

MESODERM: STRUCTURAL STUFF
- Muscle
- Adipose tissue
- Bones
- Intermediate mesoderm: kidney and gonads
- Lateral plate mesoderm: heart, gut wall, spleen
- Paraxial mesoderm: cartilage/skeletal muscle/dermis

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5
Q

What muscles and nerves are associated with the pharyngeal arches

A

1
- MUSCLE: muslces of mastication
- CN 5
- BLOOD VESSEL: external carotid, maxillary

2
- MUSCLE: facial expression
- CN 7
- BLOOD VESSEL: stapedius

3
- MUSCLE: stylopharyngeus
- CN 9
- BLOOD VESSEL: Internal carotid and common carotid

4
- MUSCLE: cricothyroid
- CN 10
- BLOOD VESSEL: subclavian

5
- MUSCLE: intrinsic larynx muscles except cricothyroid
- CN 10
- BLOOD VESSEL: ductus arteriosis, pulmonary artery

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6
Q

What does the corpus luteum secrete?

A

PROGESTERONE
Also estradiol and inhibin A

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7
Q

what days do the following happen:
Morula
Blastocyst
Implantation

A

Morula - day 4
Blastocyst - day 5-7
Implantation - Day 8

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8
Q

What can malrotation of the gut lead to

A

Ladds bands - where the coecum gets fixed to the RUQ

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9
Q

What is meckles diverticulum

How common?

A

Failure of the yolk stalk aka omphalomesenteric duct AKA vitelline duct to break down

2% of population - MOST COMMON congential abnormality of gut

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10
Q

Where are some sites of prostaglandin E2 production?

A

placenta
ductus arteriosis

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11
Q

what maintains a patent DA during pregnancy?

A

Prostaglandin E2

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12
Q

What is the cause of closure of the DA when baby is born?

When does it close?

A

Closes because:
- Placenta no longer giving it PGE2
- Increase in PO2
- Decrease in luminal pressure because pressure in pulmonary system decreases
Closes day 1-2

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13
Q

Which germ cell layers contribute to form the gut?

A

Initially just endoderm

THEN

Nerve supply - ectoderm
Mucosal layer - endoderm
Structural wall - mesoderm

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14
Q

What is the function of the ductus venosus?

A

Shunts blood from the umbilical vein from the semi-functioning liver to the IVC and to the heart. Carrying the oxygenated blood to the right side of the heart which then gets shunted to the left side via the foramen ovale and ductus arteriosis

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15
Q

what is the function of the foramen ovale?

A

Shunts oxygenated blood from right side of heart to left

16
Q

What is the function of the DA?

A

Shunts oxygenated blood from pulmonary artery of heart to aorta

17
Q

which bit of the brain forms from Rathke’s pouch

A

Anterior pituitary

18
Q

What is the rotation that the gut undergoes

A

270 degrees anticlockwise

19
Q

what is the main structure for shunting blood from the pulmonary to body circulation

A

foramen ovale.

DA shunts less blood

20
Q

How many chromosomes do each of these have?
Oogonium
Primary oocyte
Secondary oocyte
Ootid
Ovum

A

Oogonium - 46
Primary oocyte - 46x2
Secondary oocyte - 23x2
Ootid - 23
Ovum - 23

21
Q

When does oocytogenesis complete?

when does ootidogenesis complete?

When do the first and second stages of meiosis complete?

A

OOCYTOGENESIS - creation of oocyte. At birth

OOTIDOGENESIS - first stage of meiosis arrested until puberty, second stage meiosis arrested until fertilisation

22
Q

What are the two conditions which present as female without a uterus?

A

MRKH - mullerian agenesis 46XX

Complete androgen insensitivity syndrome - 46XY

23
Q

Which gene mutation is associated with PCOS

A

PKD-1 gene mutation

24
Q

What is the cause of a bicornuate uterus

A

Abnormal fusion and reabsorption of the paramesonephric ducts

25
Q

What is a horseshoe kidney caused by

A

crossed fused ectopia

26
Q

What forms the adult kidney in embryology?

A

The intermediate mesoderm forms the urogenital ridge. This separates into 3 bits. The metanephros forms the kidney