Implantation Flashcards

1
Q

Define gestational age.

A

Used to describe how far along the pregnancy is. Starts from the first day of the last menstrual cycle.

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2
Q

Define embryonic age.

A

This is the time from ovulation. It occurs up to 8 weeks, when the organs develop. After weeks is known as the fetal period.

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3
Q

What are pinopodes?

A

They are cellular outbranches from the surface of the endometrium, which allow attachment.

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4
Q

What is the role of enzymes COX-1 and COX-2?

A

They mediate the production of prostaglandins, to mediate blastocyst penetration of uterus.

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5
Q

What day is implantation completed?

A

Day 6/7.

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6
Q

What happens 3 days after fertilisation?

A

Cells of compacted embryo divide again → mulberry-shaped 16-cell morula (composed of two zones: inner, outer cell mass).

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7
Q

What is a blastocyst?

A

Structure formed in the early development of mammals. Fluid filled hollow cell, two zones.

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8
Q

What are the 2 zones of a blastocyst (day 2)? (day

A

Trophoblast: single layer of large flattened cells, stemming from morula’s outer cell mass; gives rise to placenta. Embryoblast: 20–30 pluripotent cells located on one side, stemming from inner cell mass; gives rise to embryo

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9
Q

What happens to the embryo 36 hours post fertilisation?

A

Series of fast mitotic divisions of zygote →increase number of cells, decrease size.

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10
Q

What arises from the Trophoblast?

A

Placenta.

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11
Q

What arises from the Embryoblast?

A

Embryo.

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12
Q

What produces the primary chorionic villi, which protrude the syncytiotrophoblast?

A

Cytotrophoblast.

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13
Q

Give 2 functions of the cells of the syncytiotrophoblast.

A

Penetrate the decidua basalis of the uterus. Penetrates maternal capillaries (sinusoids) so the embryo is surrounded by pool of leaked blood. Produces human chorionic hormone (hcG) - prevents corpus luteum apoptosis to produce progesterone.

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14
Q

Why is progesterone production important during implantation?

A

Prevents menstruation. Maintains endothelial lining of uterus.

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15
Q

The trophoblast differentiates into which 2 layers?

A

Syncytiotrophoblast. Cytotrophoblast.

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16
Q

The embryoblast differentiates into which 2 layers (Day 9)?

A

Hypoblast. Epiblast.

17
Q

Hypoblast gives rise to…

A

The yolk sac.

18
Q

Epiblasts form a cavity, known as the…

A

The amniotic cavity, lined with amnioblasts.

19
Q

What cells differentiate into extraembryonic mesoderm cells outside the embryo?

A

Hypoblast cells - day 13.

20
Q

The epiblast gives rise to what 3 germ layers (day 13)?

A

Endoderm. Mesoderm. Ectoderm.

21
Q

Does the amniotic cavity develop below or above the bilaminar disk, lined with epiblast cells?

A

Above.

22
Q

What are the chorionic villi?

A

Villi that sprout the outer surface of the embryo to provide maximum maternal blood contact.

23
Q

What are fraternal (dizygotic twins)?

A

Originate from two separate eggs (hyperovulation) fertilized individually by two different sperms→ zygotes have completely different genetic makeups.

24
Q

What are monozygotic twins?

A

Originate from single zygote that splits into two groups of cells→ zygotes have identical genetic makeup.

25
Q

What is a Dichorionic-diamniotic pregnancy?

A

Division occurs within 2–3 days following fertilization. Embryos develop completely separately from one another. Have separate placentas, amniotic sacs.

26
Q

What is a Monochorionic-monoamniotic pregnancy?

A

Division occurs between 8–13 days after fertilization. Embryos share both placenta, amniotic sac.

27
Q

What is a Monochorionic-diamniotic pregnancy?

A

Division occurs between 3–8 daysfollowing fertilization. Embryos share a single placenta, separate amniotic sacs.

28
Q

Give 2 dangers associated with arterial transformation.

A

Fetal growth restriction. Pre-eclampsia (multi-system disorder of increased vascular resistance). Miscarriage. Congenital malformations.

29
Q

What is gastrulation?

A

Formation of 3 germ layers from the epiblast (consists of 3 layers).

30
Q

Give 2 things the ectoderm forms.

A

Epidermis. Hair. Nails. Nervous system. Mammary glands. Melanocytes.

31
Q

Give 2 things the mesoderm forms.

A

Connective tissue. Gonads. Kidneys. Spleen. Lymphatics.

32
Q

Give 2 things the endoderm forms.

A

Epithelial lining of GI. Respiratory tracts. Thyroid. Tonsils. Liver. Pancreas.