Fou 2 - Teratogenesis Flashcards

1
Q

At what week do we see fetal movement?

A

Week 8.

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2
Q

At what week do we see 4 chambered heart and 4 limb buds?

A

Week 4

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3
Q

What appears in week 10?

A

Genitalia.

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4
Q

Which is the teratogenic effect of the tetracyclines?

A

Discolored teeth (children).

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5
Q

Which is the teratogenic effect of the ACE inhibitors?

A

Renal malformations.

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6
Q

Which is the teratogenic effect of the Aminoglycosides?

A

Ototoxicity.

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7
Q

Which is the teratogenic effect of the Fluoroquinolones?

A

Cartilage damage.

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8
Q

Which is the teratogenic effect of the cyclophosphamide?

A

Ear/facial anomalies, limb hypoplasia, Absence of digits.

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9
Q

Which is the teratogenic effect of the methotrexate?

A

Neural tube defects, abortion.

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10
Q

Which is the teratogenic effect of the carbamazepine?

A

Neural tube defects.

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11
Q

Which is the teratogenic effect of the Valproic acid?

A

Neural tube defects.

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12
Q

Which is the teratogenic effect of the Phenytoin?

A

Fetal hydantoin syndrome.

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13
Q

Which is the teratogenic effect of the Lithium?

A

Cardinal malformation as well is Ebstein anomaly

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14
Q

Which is the teratogenic effect of the Statins?

A

CNS and limb abnormalities.

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15
Q

Which is the teratogenic effect of the Warfarin?

A

Facial/limb/CNS anomalies, spontaneous abortion.

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16
Q

Which is the teratogenic effect of the isotretion?

A

Spontaneous abortions

17
Q

Which is the teratogenic effect of the Diethylstilbeterol (DES)?

A

Clear cell vaginal adenocarcinoma.

18
Q

Which is the teratogenic effect of the Thalidomide ?

A

Phocomelia. Hypoplasia of the arms and legs.

19
Q

Which are the another kind of teratogenic substance?

A

Ionizing radiation. Excessive Vitamin A. Maternal diabetes. Iodine deficiency. Cocaine, tobacco. Alcohol.

20
Q

What is the disease that is caused by drinking alcohol during pregnancy ?

A

Fetal Alcohol Syndrome

21
Q

The fetal alcohol syndrome is characterized by…?

A

Thin upper lip. Small palpebral tissues. Disability.

22
Q

Which are the functions of the Homeobox (HOX) genes ?

A

Blueprint for skeletal morphology and code for transcription regulators.

23
Q

Which is the result from the HOXD-13 mutations?

A

Synpolydactyly (extra fused digit between 3rd and 4th fingers).

24
Q

Which is the vitamin that can alters HOX gene expression?

A

Retinoic Acid (Vit. A). Also can results in cleft palate and cardiac abnormalities).

25
Q

Which antibiotics are potentially teratogenic?

A

Tetracyclines, Aminoglycosides and Fluoroquinolones

26
Q

Which drugs have such high potential for teratogenicity that they are classified as pregnancy category X?

A

Methotrexate. Thalidomide. Warfarin. Isotretion. Diethylstilbeterol (DES).

27
Q

At what developmental age do each of the following events typically take place? 1)4-Chamber heart begins to develop. 2)Genitalia begin to take on visible sex-specific characteristics. 3)Fetal movement begins. 4) Limb buds begin to form.

A

1) Week 4. 2) Week 10. 3) Week 8. 4) Week 4

28
Q

RFF: Most common cause of neural tube defects.

A

Folate deficiency.

29
Q

RFF: Most common cause of congenital malformation in the U.S.

A

Alcohol use in pregnancy.

30
Q

RFF: Most common cause of congenital intellectual disability in the U.S.

A

Fetal alcohol syndrome.

31
Q

Which are the weeks more susceptible to teratogenesis?

A

3-8 weeks where Organogenesis happens.