Teratogens Flashcards

1
Q

ACE inhibitors

A

renal damage

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2
Q

Alkylating agents

A

absence of digits, multiple anomalies

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3
Q

Aminoglycosides

A

CN VIII toxicity

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4
Q

Carbamazepine

A

neural tube defects, craniofacial defects, fingernail hypoplasia, developmental delay, IUGR

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5
Q

Diethylstilbestrol

A

vaginal clear cell adenocarcinoma, congenital Mullerian anomalies

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6
Q

Folate antagonists

A

neural tube defects

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7
Q

Lithium

A

Ebstein’s anomaly (atrialize right ventricle)

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8
Q

Phenytoin

A

fetal hydantoin syndrome: microcephaly, dysmorphic craniofacial features, hypoplastic nails and distal phalanges, cardiac defects, IUGR, mental retardation

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9
Q

Tetracyclines

A

discolored teeth

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10
Q

Thalidomide

A

limb defects (flipper limbs)

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11
Q

Valproate

A

inhibition of maternal folate absorption –> neural tube defects

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12
Q

Warfarin

A

bone deformities, fetal hemorrhage, abortion, opthalmologic abnormalities

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13
Q

Alcohol

A

leading cause of birth defects and mental retardation; fetal alcohol syndrome

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14
Q

Cocaine

A

abnormal fetal development and fetal addiction; placental abruption

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15
Q

Smoking (nicotine, CO)

A

preterm labor, placental problems, IUGR, ADHD

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16
Q

Iodide (lack or excess)

A

congenital goiter or hypothyroidism (cretinism)

17
Q

Maternal diabetes

A

caudal regression syndrome (anal atresia to sirenomelia), congenital heart defects, neural tube defects

18
Q

Vitamin A (excess)

A

extremely high risk for spontaneous abortions and birth defects (cleft palate, cardiac abnormalities)

19
Q

X-rays

A

microcephaly, mental retardation