Mechanisms of Birth Defects Flashcards

1
Q

______ are the leading cause of death outside of prematurity in the first year of life.

A

Birth defects

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2
Q

What is the #1 root of birth defects in the US?

A

unknown!

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3
Q

What are phenocopies?

A

similar birth defects resulting from predominantly genetic or predominantly environmental factors

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4
Q

____ are similar birth defects resulting from predominantly genetic or predominantly environmental factors.

A

phenocopies

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5
Q

What is Tetralogy of Fallot (TOF)?

A

Supravalvular pulmonic stenosis

Overriding aorta

Ventricular septal defect

Right ventricular hypertrophy

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6
Q

Dx?
Supravalvular pulmonic stenosis

Overriding aorta

Ventricular septal defect

Right ventricular hypertrophy

A

Tetralogy of Fallot (TOF)

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7
Q

Mutations affecting the expression of genes in _______ contributing to further development beyond the truncus arteriosus will contribute to Tetralogy of Fallot (TOF).

A

neural crest cells

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8
Q

Mutations affecting the expression of genes in neural crest cells contributing to further development beyond the truncus arteriosus will contribute to ______.

A

Tetralogy of Fallot (TOF)

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9
Q

The most common genetic mutation associated with TOF is the 22q11 deletion associated with ____ and _____.

A

Shprintzen and diGeorge syndromes

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10
Q

The most common genetic mutation associated with TOF is the ______ associated with Shprintzen and diGeorge syndromes.

A

22q11 deletion

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11
Q

What two mutations are associated with TOF?

A

22q11 deletion

JAG1

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12
Q

What does a JAG1 mutation cause?

A

Tetralogy of Fallot (TOF)

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13
Q

How does Vitamin A cause birth defects?

A

it’s a morphogen that regulates migration of neural crest

cells in the region of the developing branchial crests and arches

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14
Q

A phenocopy of the diGeorge syndrome that often includes TOF results from exposure to _____.

A

isotretinoin (Accutane ®), a vitamin A analogue

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15
Q

A phenocopy of ______ that often includes _____ results from exposure to isotretinoin (Accutane ®) a vitamin A analogue.

A

diGeorge syndrome –> TOF

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16
Q

This is a morphogen that regulates migration of neural crest cells in the region of the developing branchial crests and arches.

A

Vitamin A

17
Q

What are Xenobiotics?

A

compounds foreign to nature

18
Q

Is a high dose or low dose environmental exposure required to cause birth defects?

A

low

19
Q

Maternal _____ increases risks for spina bifida.

A

folic acid deficiency