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Test your basic knowledge |
USMLE Embryo
Start Test
Study First
Subjects
:
health-sciences
,
usmle
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. What teratogen can cause an absence of digits amongst other things in the fetus? give an example.
Alkylating agents
Excessive resorption of septum primum or secondum (or both)
Glans penis and corpus cavernosum and spongiosum; glans clitoris and vestibular bulbs
Lacunae in between the chorionic villi
2. How is amniontic fluid excreted? How is amniotic fluid resorped?
Annular pancrease
Prevent recurrent UTIs
Epiblast
Fetal kidney; fetal swallows - absorbs - and then removed from placental blood
3. What part of the gut rotates around the SMA? and At what point?
Week 10-12; end of 1st trimester
Midgut; 10th week
4th week
Prosencephalon - mesencephalon - rhombencephalon
4. What day is the amnion formed?
8
Tongue
Germinal matrix hemorrhage
Partial closure of vitelline duct so that the patent portion is attached to ileum; ectopic gastric mucosa; melena and periumbilical pain
5. When does the neural tube form and From what does it form?
Tetracyclines
Neural plate; closes by week 4
Truncus arteriosus; pulmonary trunk
Ventral shaft of penis (penile urethra); labia minora
6. What is annular pancreas associated with in infants?
Mesoderm; epiblast
Polyhydramnios - Down syndrome - Esophageal/duodenal atresia - Imperforate anus - Meckel diverticulum
Mesoderm
Neuroectoderm
7. In order to survive tricuspid atresia - What do you need?
Persistance of herniation of abdominal contents into umbilical cord covered by peritoneum; 13 - 18
Ebsteins anomaly; tricuspid atresia
They are the edge of neural plate folding; all over the body
VSD
8. What are the two types of posterior fossa malformations? which one results in a hindbrain crowding? and which results in an enlarged posterior fossa? which one is associated with syringomelia?
Pronephros - mesonephros - metanephros; pronephros; most cranially
Arnold Chiari and Dandy Walker; Arnold Chiari; Dandy Walker; Arnold Chiari
Neural crest cells
septum primum and/or secundum
9. From What embryonic layer does the lens of the eye arise?
Surface ectoderm
Bone/cartilage and nerves
6-30
Gastric outlet obstruction (bilious vomiting - feeding intolerance - abdominal distention)
10. what muscles are derived from branchial arch 4? CN?
Bulbos Cordis; right ventricle entirely
4th arch; 6th arch
Most pharyngeal constrictors - Cricothyroid - levator veli palatini; CN X (superior laryngeal branch - swallowing)
VACTERL; OCPs and maternal diabetes
11. What separated myometrium of the uterus from the blastocyst?
Decidual basalis
Polyhydramnios - Down syndrome - Esophageal/duodenal atresia - Imperforate anus - Meckel diverticulum
...
Week 4; week 3
12. What causes a large posterior fossa in a dandy walker malformation? What is found in this fossa?
Absent cerebellar vermis; cystic enlargement of 4th ventricle
Tetracyclines
Neural crest cells
Mesoderm; 3 week
13. Which branchial derivative accounts for the sensation and taste in the posterior 2/3 of the tongue? how about the very back?
4th arch; 6th arch
Incomplete fusion of paramesonephric ducts; UT abnormalities and infertility
Bulbos Cordis; right ventricle entirely
Dorsal; sensory
14. During what week does the heart begin to beat?
Week 4
Primitive atrium
Embryonic period; 1st trimester
Dorsal and ventral buds
15. From where does the medulla form?
Myelencephalon
Foramen cecum and terminal sulus
During; instrinsic
Pulm art (prox) and ductus arteriosus
16. What is the mcc of renovascular hypertension in children? What does this predispose to?
Initial left to right shunting - then switches
Renal artery stenosis;
Neuroectoderm
Foramen cecum and terminal sulus
17. What is the memranous interventricular formaen made from?
Umbilical artery - vein; and whartons jelly (mucus connective tissue) - urachus
Persistance of herniation of abdominal contents into umbilical cord covered by peritoneum; 13 - 18
When the AP septum meets and fuses with the muscular ventricular septum to form membranous intraventricular septum - closing interventricular foramen
Muscular ventricular septum; no
18. What is the primitive streak? From what layer does it form?
Cytotrophoblast
Mesoderm; epiblast
Mesoderm
Neural crest cells
19. What embryological structure gives rise to the smooth part of the right atrium?
Stapedius and hyoid artery
Incomplete fusion of paramesonephric ducts; UT abnormalities and infertility
Right horn of the SV
Spinothalamic first
20. From which myotomes are muscles of the tongue derived from?
Rostral fold closure ; lateral fold closure; lateral fold closure; caudal fold closure
Occiptal
Indomethacin; blocks PG production
Day 6; maintains corpus luteum; 1st trimester
21. What is another name for the mesonephric duct? paramesonephric?
Wolffian; mullerian
Epiblast
...
Ventral ; motor
22. which genital embryology is default? From what duct? what duct degenerates without signal to stay?
From the the lung; blood from SVC that went into RV gets shunted from pulm artery to aorta; ligamentum arteriosum
Rhombencephalon
Female; paramesonephric; mesonephric
First branchial pouch
23. What weeks are considered the 'embryonic period'?
Mesencephalon
Week 8
Week 3-8
Yolk sac; liver (weeks 6-30) and spleen (9-28 weeks)
24. Cleft lip is a failure of fusion of ________ and ______.
Upper 1/3; urogenital sinus
VSD
Maxillary and medial nasal processes
Glans penis and corpus cavernosum and spongiosum; glans clitoris and vestibular bulbs
25. From where does the permanent kidney for? is it most caudal or most cranial?
Outgrowth of mesonephric as ureteric bud; most caudal
Incomplete; yes
mesoderm
Lacunae in between the chorionic villi
26. What does the midgut form? hindgut?
Prenatal and perinatal
Surface ectoderm
Duodenum to transverse colon; distal transverse colon to rectum
Week 8
27. How many umbilical arteries are there? How many umbilical veins?
2; 1
Endocardial cushions
Decidual basalis
Pulm art (prox) and ductus arteriosus
28. Which branchial arch derivative is obliterated?
Neural plate; closes by week 4
All or none
Right horn of the SV
5th
29. What trisomy is associated with holoprosencephaly? What teratogen?
Pataus; fetal alcohol syndrome
Palpable olive mass in epigastric region; nonbilious projectile vomitting @around 2 weeks
Neural crest cells
Week 8
30. Which part of the chorionic villi can make cells?
Blastocyst; epiblast and hypoblast; synctiotrophoblast and cytotrophoblast
Cytotrophoblast
IMA
septum primum and/or secundum
31. From What embryonic layer is the eustachian tube from?
Before getting pregnant!
Urachus/median umbilical ligament; bladder and yolk sac
Mesoderm
Endocardial cushions
32. From What embryonic layer does the inner arise?
is no longer intact
...
Greater horn of hyoid; CN IX (styloPharyngeus)
Mesoderm
33. From what are the umbilical arteries and veins derived from?
Mesonephros; male genital system
Branchial arch 2
Allantois
Prevent recurrent UTIs
34. what muscles are derived from branchial arch 2?
Endocardial cushions
Neural crest cells
Muscles of facial expression - stapedius - stylohyoid - posterior belly of the digastric
Synctiotrophoblast; outer; no
35. From What embryonic layer does the gut tube epithelium arise?
Stapedius and hyoid artery
Duodenum to transverse colon; distal transverse colon to rectum
Endoderm
Reicherts cartilage: Stapes - Styloid process - Lesser horn of hyloid - Stylohyoid ligament and CN VII
36. What is the prochordal plate?
Week 8
Surface ectoderm
Where the epiblast and hypoblast fuse
lumbosacral
37. What does the maternal component of the placenta provide? Where is it derived from?
Polyhydramnios
Umbilical artery - vein; and whartons jelly (mucus connective tissue) - urachus
Annular pancrease
Nutrient and gas for exchange; endometrium
38. From what region of the brain does the fourth ventricle form?
Dorsal; sensory
Rhombencephalon
Week 8
Dorsal ventral axis
39. From What embryonic layer do the parafollicular cells of the thyroid arise?
Cytotrophoblast and synctiotrophoblast
Neural crest cells
Arches 3 and 4
Medial palatine processes
40. What congenital abnormality forms a 'double bubble' on xray?
20-50yrs - Abdominal pain - Postprandial fullness - Nausea - Peptic ulcers - Pancreatitis - Rarely - biliary obstruction
Annular pancrease
Apical ectodermal ridge; limb lengthening; stimulates mitosis of underlying mesoderm
Thyroid - cricoid - arytenoids - corniculate cuneiform
41. Name two endocardial cushion defects.
Decidual basalis
Ebsteins anomaly; tricuspid atresia
Week 8
Neural crest migration - they then cause spiral
42. What is the female remnant of processus vaginalis? male remnant?
Obliterated; forms tunica vaginalis
Day 6; maintains corpus luteum; 1st trimester
Turners; inferior
mesoderm
43. What is the defect in spina bifida occulta? is there any structural herniation? where on the spinal cord is it usually seen?
Metanephric mesenchyme; differentiation and formation of glomerulus and renal tubules to distal convoluted tubule
Failure of bony spinal canal to fuse; no; lower vertebral levels
3rd and 4th arches
Neural crest development; MEN 2A (pheo - PTH tumor - parafollicular cell tumor)
44. Which branchial apparatus derivative makes the tympanic membrane of the ear?
Neural crest cells
Membrane - all 3 from 1st appartus
Persistent connection between amniotic cavity and spinal canal; low folic acid
Neural crest cells
45. Where is the decidua basalis derived from?
Endometrium
Synctiotrophoblast
Reicherts cartilage: Stapes - Styloid process - Lesser horn of hyloid - Stylohyoid ligament and CN VII
Upper 1/3; urogenital sinus
46. What does the ductus arteriosus shunt blood away from - to where? What is its remnant?
Absent cerebellar vermis; cystic enlargement of 4th ventricle
Ectoderm - mesoderm - endoderm; epiblast - primitive streak - hypoblast; week 3
From the the lung; blood from SVC that went into RV gets shunted from pulm artery to aorta; ligamentum arteriosum
Excessive resorption of septum primum or secondum (or both)
47. From where does the signal come from to suppress paramesonephric ducts? what stimulates development of the mesonephric ducts?
Mullerian inhibitory factor from Sertoli cells; increased androgen from Leydig cells
Deoxygenated blood; fetal internal iliac arteries to placenta
Decreased separation of hemispheres across midline; cyclopia
Neural crest cells
48. What are the three regions of the brain (in order of cranial to caudal)?
Tongue
Fluid filled syrinx causes expansion and degeneration of cord tracts
Prosencephalon - mesencephalon - rhombencephalon
A vitelline fistula - failure of vitelline duct to close
49. From where does the prostate develop? seminal vesicles? fallopian tube? lower 2/3 of the vagina? ejaculatory duct? epididymis? uterus? upper 1/3 of the vagina?
6-30
Gastric outlet obstruction (bilious vomiting - feeding intolerance - abdominal distention)
Urogenital sinus; wolffian duct; mullerian duct; urogenital sinus; wolffian duct; wolffian duct; mullerian; mullerian
...
50. When does hCG secretion take place? with what event?
Day 6; with implantation
From teh lung;blood from IVC in RA to LA; fossa ovalis
3rd pouch
Meckels cartilage: mandible - malleus - INCUS - sphenoMandibular ligament; CN V2 and V3