Teratogens Flashcards

1
Q

What is a teratogenic agent?

A

An environmental agent that produces abnormalities during embryonic or fetal development

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2
Q

What is TORCH

A
Toxoplasmosis
Others (Hep B, Mumps, Poliovirus)
Rubella
Cytomegalovirus (CMV)
Herpes
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3
Q

How many ways can environmental agents cause birth defects?

A

3

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4
Q

What are the ways in which an environmental agents cause birth defects?

A

direct exposure to the agent

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5
Q

What are other teratogens

A

Chemicals, Alcohol, Radiation, Drugs, Meds,

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6
Q

What are clinical manifestations of TORCH

A

microcephaly, hydrocephalus, defects of the eye, hearing problems

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7
Q

How could someone get Toxoplasmosis (Toxoplasma gondii)

A

Contracted by eating raw/uncooked meat, infected meat

Cat feces

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8
Q

How to prevent contracting Rubella?

A

Vaccines to prevent hearing impairment and blindness

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9
Q

How does infant acquire Herpes virus type 2

A

Infection in utero or passage through the birth canal

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10
Q

What deficiency is implicated in the development of neural tube defects?

A

Folic acid deficiency

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11
Q

What are consequences of Folic Acid deficiency?

A

spina bifida, encephalocele, anencephaly

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12
Q

What is the recommended amount of folic acid for pregnant women?

A

400 micrograms daily

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13
Q

What foods are folate-rich?

A

Oj, dark/leafy green veggies, legumes

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14
Q

What period is the most susceptible to teratogens?

A

During rapid differentiation and development of body organs & tissues, 15-60 days postconception

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15
Q

What does radiation cause

A

microcephaly
skeletal malformations
intellectual disabilities

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16
Q

How cause radiation exposure be avoided

A

testing for pregnancy before using tech that uses radiaton

17
Q

Administration of therapeutic radioactive iodine during the 13th week can do what

A

interfere with thyroid development

18
Q

What is the most common chemical teratogen

A

drugs

19
Q

Drugs with a molecular weight of what cross the placenta easily

A

500 or less

20
Q

What other factor helps drugs pass throught the placenta

A

lipid solubility, dangerous if there lipid soluble

21
Q

What are some example of drugs teratogens

A

thalidomide
the antimetabolites for cancers
warfarin
cocaine

22
Q

What are the five pregnancy risk categories for drugs

A
A
B
C
D
X
23
Q

Which are not suggested for use immediately

A

X