Repro I Flashcards

1
Q

sonic hedgehog

A

patterning A/P direction

CNS - mutation holoprosencephaly

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2
Q

WNT-7 gene

A

at apical ectoderm ridge
-development alongs dorsal ventral axis

of limbs

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3
Q

FGF gene

A

apical ectoderm ridge

stimulate mitosis underlying mesoderm
-for lengthening of limb

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4
Q

Hox gene

A

hmoeobox

segmental organization in embryo
code transcription factors

mutation - appendage wrong location

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5
Q

early fetal development

A

day 0 - fertilization - form zygote
week 1 - hCG secretion begin after implant
week 2 - bilaminar disc form - epiblast/hypoblast
week 3 - trilaminar disc - 3 layers
-primitive streak, notochord, mesodem - neural plate forms
week 4 - 8 - neural tube formed and closes
-organogenesis begins
-susceptible to teratogens

week 4 - heart beat
-upper and lower limb buds form
week 6 - fetal cardiac acivity - seen by U/S
week 10 - genitalia male/female

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6
Q

gastrulation

A

forms trilaminar embryo disc

establish ectoderm, mesoderm, endoderm

start epiblast invagination to form primitive streak

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7
Q

ectoderm

A

surface ectoderm
neuroectoderm
neural crest

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8
Q

surface ectoderm

A
epidermis
adenohypophysis
lens of eye
epithelial lining oral cavity
sense organs of ear
olfactory epithelium
epidermis
anal canal below pectinate
parotid, sweat, mammary gland
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9
Q

neuroectoderm

A

brain - CNS neuron, oligodendrocytes, astrocytes, ependymal cells, pineal gland

neurohypophysis
retina
optic nerve
spinal cord

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10
Q

neural crest

A
PNS - dorsal root ganglia, CN, celiac ganglion, schwann cells
ANS
melanocytes
chromaffin cells of adrenal medulla
parafollicular cells of thyroid
pia and arachnoid
bones of skull
odontoblasts
aorticopulmonary septum
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11
Q

mesoderm

A
muscle
bone 
CT
serous linings
spleen**
CV structure
lymph
blood
wall gut tube
vagina
kidney
adrenal cortex
dermis
testes
ovaries
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12
Q

notochord

A

induce ectoderm to form neuroectoderm (neural plate)

derivative - nucleus pulposus

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13
Q

endoderm

A

gut tube epithelium
urethra
luminal epithelial derivatives
-lung, liver, gallbaldder, pancreas, eustachian tube, thymus, parathyroid, thyroid follicular cells

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14
Q

agenesis

A

absent primordial tissue

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15
Q

aplasia

A

primordial tissue - but absent organ

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16
Q

deformation

A

extrinsic disruption

17
Q

disruption

A

2ndary breakdown previously normal tissue

18
Q

malformation

A

intrinsic disruption - during week 3-8

19
Q

sequence

A

abnormality from single embryo event

20
Q

teratogens

A

most susceptible - 3-8 weeks

before week 3 - all or none
after week 8 - altered growth/function

21
Q

ACE I

A

teratogen - renal damage

22
Q

alkylating agent

A

teratogen - absent digits, multiple anomalies

23
Q

CN 8 toxicity teratogen

A

aminoglycoside

24
Q

facial dysmorphism, develop delay, neural tube defect, phalanx/fingernail hypoplasia teratogen

A

carbamazepine

25
vaginal clear cell carcinoma teratogen
DES - diethylstilbestrol - estrogen
26
severe birth defect teratogen - mandatory contraception
isotretinoin
27
ebstein anomaly
lithium teratogen
28
aplasia cutis congenita teratogen
methimazole
29
fetal hydantoin syndrome - cleft palate, cardiac defect, phalanx/fingernail hypoplasia
due to phenytoin
30
limb defect teratogen - flipper limb
thalidomide phocomelia and micromelai - flipper
31
inhibit maternal folate absorption
valproate neural tube defect
32
bone deform, fetal hemorrhage, abortion, ophthalmologic abnormal teratogen
warfarin
33
abnormal fetal growth, fetal addiction, placental abruption
cocaine
34
low birth weight, preterm labor, placental problem, IUGR, ADHD
smoking during pregnancy nicotine - vasoconstriciton CO - impaired O2 delivery
35
cretinism
congenital goiter iodine lack of excess
36
caudal regression syndrome
anal atresia to sirenomelia congenital heart defect neural tube defect maternal diabetes
37
vit A excess during pregnancy
risk spontaneous abortion | birth defect
38
X-ray during pregnancy
microcephaly | intellectual disability
39
fetal alcohol syndrome
``` retardation microcephaly facial abnormalities limb dislocation heart defect heart lung fistula holoprosencephaly - severe ``` failure of cell migration