Teratology Flashcards

0
Q

fewer than ____ of human zygotes and less than ___ of all pregnancies result in normal, healthy babies

A

20-30%, half

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1
Q

one of every ___ infants die due to birth defects

A

5

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2
Q

as the embryo develops it ____ embryonic cellular potency and ____ cellular differentiation

A

loses, gains

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3
Q

major malformations usually occur during ____

A

organogenesis (critical period)

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4
Q

embryonic regulation:

A

internal rearrangements of development schedules, populations of cells which allows the fetus to respond to challenges

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5
Q

most birth defects are caused by:

A

unknown etiology

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6
Q

developmental plasticity

A

ability of a single gene to express more than one phenotype based on environmental conditions i.e. alligator eggs

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7
Q

aneuploidy

A

chromosome number is not a multiple of 23

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8
Q

aneuploidy is typically caused by:

A

nondisjunction during gametogenesis

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9
Q

Trisomy 18 is known as:

A

Edward syndrome

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10
Q

Trisomy 13 is known as:

A

Patau syndrome

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11
Q

Turner syndrome

A

45 X

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12
Q

Klinefelter syndrome

A

47 XXY

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13
Q

Cri du chat syndrome

A

deletion of short arm of chromosome 5

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14
Q

most common structural defect of X chromosome:

A

isochromosomes, centromere divides transversely instead of longitudinally

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15
Q

holoprosencephaly

A

SHH, failure of forebrain to completely separate into two lobes, wide range of brain, skull, and facial defects

16
Q

achondroplasia

A

FGFR3, dwarfism

17
Q

fetal hydantoin syndrome

A

embryo lacks epoxide hydrolase, can’t metabolize phenytoin

18
Q

progressive maternal physiological changes during gestation

A
  • plasma volume increases by 50%
  • CO rises 30-50%
  • GFR rises 50%
  • decreased systemic vascular resistance
  • decreased plasma protein binding
  • altered electrolyte and mineral metabolism
  • enhanced pulmonary ventilation
19
Q

preeclampsia

A

blood vessels in uterus constrict, restricts blood supply to placenta and increases blood pressure in the mother

20
Q

preeclampsia is associated with decreased levels of ___

21
Q

maternal diabetes is associated with:

A
  • macrosomia
  • spina bifida
  • heart defects
  • skeletal defects
  • urinary, reproductive, and digestive tract defects
22
Q

hyperthermia is associated with:

A

neural tube defects

23
Q

malformations vs. deformations

A

deformations occur later in pregnancy, caused by a physical change

24
amniotic bands
fibrous bands from amnion-tears that attach to/encircle body parts
25
prader-willi syndrome
15q deletion in paternally-derived chromosome, associated with paternal hydrocarbon exposure
26
rubella virus/german measles classic triad of clinical signs
cataracts, hearing defects, patent ductus arteriosus
27
the most common viral infection at birth in US:
cytomegalovirus
28
toxoplasma gondii
in feces (litter box)
29
syphilis side effects
``` stillbirth dental anomalies deafness mental retardation skin/bone lesions meningitis ```
30
phenocopy
a phenotype can be caused by multiple factors
31
the leading known preventable cause of mental retardation and birth defects is:
alcohol
32
the most sensitive period for fetal alcohol syndrome is:
the first month of gestation
33
how does smoking probably affect infant mortality?
by leading to more preterm births
34
what halogenated aromatic hydrocarbons were most likely the bad actor, causing birth defects?
PCDF
35
what causes ouch-ouch disease?
mercury exposure