Anatomy - MSK MCQ (MD2)

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Questions and Answers

Which of the following statements regarding the notochord's role in vertebral development is NOT correct?

  • The notochord signals the development of the vertebral column before vertebral segmentation occurs.
  • Excess notochordal cells during ossification can result in a butterfly vertebra.
  • Insufficient notochordal cells during ossification can contribute to block vertebra formation.
  • Remnants of the notochord become part of the nucleus pulposus within the intervertebral discs.
  • The notochord directly ossifies to form the vertebral centrum. (correct)

During which stage of vertebral development do the paired primary centres of chondrification first form, and what do they differentiate into?

  • Cartilaginous stage; centrum and neural arches (correct)
  • Osseous stage; neural arches and costal elements
  • Mesenchymatous stage; perinotochordal sheath
  • Mesenchymatous stage; intervertebral discs
  • Cartilaginous stage; costal elements and zygapophyseal joints

A neonate presents with scoliosis. Imaging reveals hemivertebrae. Which developmental error most likely caused this condition?

  • Failure of notochordal signalling during the cartilaginous stage
  • Excessive Hox10 expression in thoracic vertebrae
  • Failure of one primary ossification centre to form in the osseous stage (correct)
  • Failure of re-segmentation during the mesenchymatous stage
  • Persistent neurocentral cartilage beyond 6 years of age

A mutation in Hox10 expression results in which of the following skeletal abnormalities?

<p>Rib formation in the lumbar region (A)</p> Signup and view all the answers

In the vertebral development process, failure of segmentation during which stage is most likely to result in block vertebrae?

<p>Mesenchymatous stage (D)</p> Signup and view all the answers

During the mesenchymatous stage, sclerotome cells migrate to form which of the following vertebral structures?

<p>Centrum, neural arch, and costal element (D)</p> Signup and view all the answers

The presence of interlaminar and neurocentral cartilage growth plates is characteristic of which stage of vertebral column development?

<p>Osseous stage (C)</p> Signup and view all the answers

Which vertebral element contributes to the formation of the zygapophyseal joints and mammillary processes?

<p>Neural arch element (D)</p> Signup and view all the answers

A 12-year-old patient has vertebral anomalies due to a lack of bone deposition at the site of the nucleus pulposus. What is the most likely congenital condition?

<p>Butterfly vertebra (B)</p> Signup and view all the answers

Which process drives the re-segmentation of somites during vertebral development?

<p>Hox gene expression and intersegmental artery location (A)</p> Signup and view all the answers

Which of the following accurately describes the mesenchymatous stage of vertebral development?

<p>Migration of sclerotome cells to the perinotochordal sheath, neural arch, and costal elements (B)</p> Signup and view all the answers

Which vertebral anomaly arises due to a failure of one cartilage centre to develop during the cartilaginous stage?

<p>Hemivertebra (D)</p> Signup and view all the answers

The intervertebral discs align with which developmental structure during the cartilaginous stage?

<p>Segments and somites (E)</p> Signup and view all the answers

During vertebral segmentation, what defines the location of a vertebral segment?

<p>Site of intervertebral disc development and nerve root exit (C)</p> Signup and view all the answers

A patient is diagnosed with butterfly vertebra. What developmental abnormality most likely caused this condition?

<p>Excess notochordal cells inhibiting bone deposition in the centrum (E)</p> Signup and view all the answers

Which vertebral structures form directly from the costal element during development?

<p>Ribs in the thoracic region and transverse processes in other regions (A)</p> Signup and view all the answers

How does the notochord contribute to vertebral development during the cartilaginous stage?

<p>It forms the nucleus pulposus of the intervertebral discs. (C)</p> Signup and view all the answers

Which of the following is a direct consequence of Hox10 gene deletion in vertebral development?

<p>Excessive rib formation in the lumbar and sacral regions (B)</p> Signup and view all the answers

Which of the following statements regarding the notochord’s role in vertebral development is NOT correct?

<p>The notochord directly ossifies to form the vertebral centrum. (C)</p> Signup and view all the answers

What is the significance of neurocentral cartilage growth plates in vertebral development?

<p>They separate primary ossification centres in the vertebral body and neural arches. (D)</p> Signup and view all the answers

In the osseous stage, which process contributes to the continuation of vertebral growth beyond birth?

<p>Formation of secondary ossification centres in the ring epiphysis (C)</p> Signup and view all the answers

What is the primary clinical manifestation of block vertebra?

<p>Loss of mobility between fused vertebral segments (D)</p> Signup and view all the answers

What distinguishes the neural arch element in vertebral development?

<p>It contributes to the dorsal arch, zygapophyseal joints, and lateral vertebral body. (A)</p> Signup and view all the answers

What distinguishes the mesenchymatous stage from the cartilaginous stage in vertebral development?

<p>Replacement of mesenchyme with hyaline cartilage. (B)</p> Signup and view all the answers

During the osseous stage, which process is responsible for continuing vertebral growth after birth?

<p>Growth of the ring epiphysis, contributing to vertebral body height. (E)</p> Signup and view all the answers

Which Hox gene expression error is associated with lumbar-isation of thoracic vertebrae?

<p>Gain of Hox10 expression in thoracic segments. (E)</p> Signup and view all the answers

What developmental process ensures nerve roots exit between vertebrae?

<p>Alignment of segments with intervertebral discs during somite re-segmentation. (A)</p> Signup and view all the answers

Failure of segmentation during which stage contributes to block vertebra?

<p>Mesenchymatous stage (E)</p> Signup and view all the answers

Which vertebral structure forms exclusively from the costal element?

<p>Ribs in the thoracic region and parts of the transverse process in other regions. (E)</p> Signup and view all the answers

What clinical condition may result from the persistence of neurocentral cartilage after 8 years of age?

<p>Structural weakness in the vertebral arch. (E)</p> Signup and view all the answers

A neonate presents with thoracic ribs extending into the lumbar region. Which developmental process is most likely disrupted?

<p>Hox gene expression during thoracic-lumbar differentiation. (D)</p> Signup and view all the answers

What is the role of the nucleus pulposus in intervertebral disc function?

<p>Acts as a remnant of the notochord, providing shock absorption. (C)</p> Signup and view all the answers

Which of the following secondary ossification centres is responsible for increasing vertebral height during puberty?

<p>Ring epiphysis (D)</p> Signup and view all the answers

Which condition results from excess nucleus pulposus formation during development?

<p>Butterfly vertebra (E)</p> Signup and view all the answers

What distinguishes vertebral growth plates from epiphyseal plates in long bones?

<p>Vertebral growth plates persist until age 8, unlike epiphyseal plates. (A)</p> Signup and view all the answers

Flashcards

Notochord ossification

The notochord does not directly ossify to form the vertebral centrum.

Primary centers of chondrification

First form during the cartilaginous stage and develop into centrum and neural arches.

Hemivertebrae

Caused by failure of one primary ossification center during the osseous stage.

Hox10 mutation

Results in rib formation in the lumbar region.

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Block vertebrae

Result from failure of segmentation in the mesenchymatous stage.

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Sclerotome migration

During mesenchymatous stage, forms centrum, neural arch, and costal elements.

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Neurocentral cartilage growth plates

Characteristic of the osseous stage, separating ossification centers.

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Zygapophyseal joints

Formed by the neural arch element.

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Butterfly vertebra

Caused by a lack of bone deposition at the nucleus pulposus site.

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Resegmentation of somites

Driven by Hox gene expression and intersegmental artery location.

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Hemivertebra

Anomaly due to failure of one cartilage center during the cartilaginous stage.

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Intervertebral discs

Align with segments and somites during cartilaginous stage.

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Vertebral segment location

Defined by intervertebral disc development and nerve root exit.

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Notochord's contribution

Forms nucleus pulposus of intervertebral discs during the cartilaginous stage.

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Hox10 deletion

Results in excessive rib formation in lumbar and sacral regions.

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Neurocentral cartilage significance

Separates primary ossification centers in vertebral body and neural arches.

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Osseous stage growth

Continued by formation of secondary ossification centers in ring epiphysis.

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Block vertebra symptoms

Primary manifestation is loss of mobility between fused segments.

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Neural arch element

Contributes to the dorsal arch, zygapophyseal joints, and body.

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Mesenchymatous vs cartilaginous stage

Mesenchymatous stage has mesenchyme replaced with hyaline cartilage.

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Postnatal vertebral growth

In osseous stage, growth from ring epiphysis increases height.

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Lumbar-isation of thoracic vertebrae

Associated with gain of Hox10 expression in thoracic segments.

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Nerve roots exit

Ensured by alignment of segments with intervertebral discs.

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Costal element contribution

Costal elements form ribs in thoracic and parts of transverse processes.

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Persistence of neurocentral cartilage

Can cause structural weakness in the vertebral arch past age 8.

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Thoracic ribs in lumbar region

Arises from disrupted Hox gene expression during thoracic-lumbar differentiation.

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Nucleus pulposus role

Acts as a shock absorber and remnant of notochord.

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Secondary ossification centers

Contribute to increasing vertebral height during puberty.

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Butterfly vertebra causes

Results from excess nucleus pulposus formation.

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Vertebral vs epiphyseal plates

Vertebral growth plates persist until age 8; epiphyseal do not.

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