Embryology Key Concepts

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Questions and Answers

A neonate presents with cyanosis due to tricuspid atresia. Failure of which embryonic structure is most likely responsible for this condition?

  • Right endocardial cushion (correct)
  • Truncus arteriosus
  • Primitive ventricle
  • Bulbus cordis

A developing fetus is found to have a single large ventricle and a fused single thalamus. Which primary brain vesicle was most likely affected during development to cause these abnormalities?

  • Myelencephalon
  • Rhombencephalon
  • Prosencephalon (correct)
  • Mesencephalon

A child is born with urine exiting from the underside of the penis (hypospadias). Which embryonic structure failed to fuse properly?

  • Urethral folds (correct)
  • Urogenital sinus
  • Genital tubercle
  • Labioscrotal swellings

A newborn presents with bowel loops covered by a membrane protruding from the umbilicus. This condition is most likely due to a failure of what normal embryonic process?

<p>Return of midgut to the abdominal cavity (C)</p> Signup and view all the answers

A woman contracts rubella during the first trimester of her pregnancy, leading to congenital defects in the developing fetus. During which period of gestation would exposure to rubella pose the greatest risk of causing major organ malformations?

<p>Weeks 3-8 (D)</p> Signup and view all the answers

Damage to the pelvic splanchnic nerves would directly impair which physiological function?

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

During a surgical procedure, the ureter is accidentally ligated. Which artery is most at risk of damage?

<p>Uterine artery (B)</p> Signup and view all the answers

A patient has a tumor in the peripheral zone of the prostate. Where is the prostate tumor located?

<p>Posterior and lateral aspects of the gland (C)</p> Signup and view all the answers

What is the functional consequence of severing the nerve that passes through the roof of the superficial inguinal ring?

<p>Loss of sensation to the scrotum or labia majora (A)</p> Signup and view all the answers

Compression of which structure is most likely to result in obstructive jaundice due to a pancreatic head mass?

<p>Common bile duct (D)</p> Signup and view all the answers

Following blunt trauma to the wrist, a patient is unable to extend the wrist against resistance. Which nerve is most likely damaged?

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

A patient develops Frey's syndrome after parotid surgery, exhibiting sweating and flushing in the cheek area during meals. Which nerve is most likely involved in this condition?

<p>Auriculotemporal nerve (A)</p> Signup and view all the answers

A patient struggles to abduct the vocal cords. Which muscle is most likely dysfunctional?

<p>Posterior cricoarytenoid (C)</p> Signup and view all the answers

Following a neck surgery, a patient can no longer produce high-pitched sounds. Which nerve was most likely damaged during the procedure?

<p>External branch of the superior laryngeal nerve (B)</p> Signup and view all the answers

If a patient loses taste and general sensation on the posterior third of the tongue, which nerve is damaged?

<p>Glossopharyngeal nerve (A)</p> Signup and view all the answers

Which muscle of the eye is used when looking up and out?

<p>Inferior oblique (A)</p> Signup and view all the answers

A physician planning a tracheostomy needs to incise the trachea. Through which tracheal rings should the incision be made?

<p>C6-C7 (B)</p> Signup and view all the answers

After sustaining an injury to the piriform fossa, a patient experiences difficulty swallowing and changes in voice quality. Which structure passing through the piriform fossa may have been injured to cause these symptoms?

<p>Internal laryngeal nerve (A)</p> Signup and view all the answers

A surgeon is performing a surgery near the rib cage and accidentally damages the long thoracic nerve. What would be the most likely functional deficit observed in the patient postoperatively?

<p>Winged scapula (A)</p> Signup and view all the answers

A patient is undergoing a procedure that requires anesthesia of the face. Which area is considered the 'dangerous area' due to the risk of infection spreading intracranially?

<p>Around the nose and upper lip (D)</p> Signup and view all the answers

Flashcards

Right endocardial cushion

Forms atria

Metencephalon

Becomes the cerebellum

Urine from Underside of Penis

Defect of closure of the urethral folds.

SHH (Sonic Hedgehog)

Signaling center involved in limb development

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Omphalocele

Non-return of bowel loops, covered with amnion

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Erector Spinae

Derived from cells of epimere

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Diencephalon

Forms the retina

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Rubella Exposure Complications

Around weeks 3-8 of pregnancy

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Pelvic Splanchnic Nerves

Innervates erection

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Chordae Tendineae

Prevent regurgitation of mitral valve

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Ureter

Runs inferior to uterine artery

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Prostate Cancer Zone

Peripheral

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Testicular Cancer Lymph Node Affected

Para-aortic

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Murmur in Right 2nd ICS

Aortic semilunar valve

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Nerve Through Superficial Inguinal Ring

Ilioinguinal nerve

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Posterior Wall of Stomach

Splenic Artery

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Obstructive Jaundice

Common bile duct

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Inability to Extend Wrist

Radial nerve

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Posterior rami damage

Erector spinae

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Frey's syndrome

Auriculotemporal

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Study Notes

  • Neural tube defects such as myelomeningocele and apartospinalcord nerve are associated with Spina Bifida

Embryology

  • Right endocardial cushion contributes to tricuspid atresia, resulting in bluish discoloration of lips and skin
  • Prosencephalon abnormality results in single large ventricle and fused single thalamus
  • The cerebellum develops from the metencephalon
  • Radial Glial processes are involved in neuroblast migration
  • Failure of urethral folds to fuse causes urine to exit from under the penis
  • SHH is essential for ZPA signaling
  • Omphalocele involves the non-return of physiological herniation
  • Bowel loops are covered with amnion in Omphalocele
  • Muscles derived from cells of the epimere are the Erector Spinae
  • The 4th pouch forms the superior parathyroid gland
  • In humans, the ductus arteriosus forms the ligamentum arteriosum
  • The retina is derived from the diencephalon
  • Rubella exposure during the first four weeks of pregnancy leads to complications
  • Gastroschisis is caused by a lateral fold defect

Anatomy

  • Pelvic Splanchnic damage results in the inability to have an erection
  • Chordae Tendineae prevent regurgitation of the mitral valve
  • The suspensory ligament of the ovary contains ovarian vessels in close proximity
  • The ureter is inferior to the uterine artery
  • The pelvic diaphragm is formed by the Coccygeus and Levator Ani
  • Peripheral zone can be affected by cancer of the prostate
  • Testicular cancer spreads to the para-aortic lymph nodes
  • Quiet normal respiration is facilitated by the diaphragm
  • Murmur at the right, 2nd ICS is caused by the aortic semilunar valve
  • Medial and lateral lobes can be involved with pneumonia
  • Inferior epigastric vessels form the lateral boundary of Hesselbach's triangle
  • The ilioinguinal nerve passes through the roof of the superficial inguinal ring
  • The ligamentum venosum and IVC form the boundaries of the caudate lobe
  • The splenic artery is posterior to the stomach
  • Compression of the common bile duct results in obstructive jaundice
  • Morrison's pouch is the hepatorenal recess
  • Damage to the radial nerve results in the inability to extend the wrist
  • The dangerous area of the face is the pterion
  • Damage to posterior rami paralyzes the Erector spinae
  • Frey's syndrome involves the auriculotemporal nerve
  • Winged scapula results from damage to the thoracodorsal nerve
  • Lymph nodes at the 11 o'clock position of the breast
  • Difficulty supinating results from biceps brachii damage
  • The superior thyroid artery runs with the external laryngeal nerve
  • Exposure of tracheal rings is needed for tracheostomy
  • Injury to the inferior alveolar nerve paralyzes muscles
  • Oculomotor nerve damage results in "down and out" eye presentation
  • Injury to the piriform fossa can injure the internal laryngeal nerve
  • The anterior ethmoidal artery gives blood to the Kiesselbach's plexus
  • The great auricular nerve innervates the ear lobe
  • The dorsalis pedis pulse can be identified in an image
  • The tibial nerve innervates the plantar surface of the foot
  • The rima glottidis is a location in a picture
  • PCA is the muscle used for abducting the vocal cords
  • The external laryngeal nerve is damaged when unable to sing high pitched
  • The superficial fibular nerve is responsible for Foot eversion
  • The temporalis muscle elevates and retracts the mandible
  • The glossopharyngeal nerve is responsible for taste and general sensation on the posterior third of the tongue
  • Medication is absorbed under the tongue via the sublingual route
  • The post part of genioglossus muscle causes tongue protrusion
  • Styloglossus, superior longitudinal, interior longitudinal are the muscles that cause curl sides of tongue
  • Superior oblique and superior rectus are the muscles used when looking up
  • Glossopharyngeal nerve and stylopharyngeus innervate the Inferior, middle, and superior constrictor muscles
  • The most powerful structure that provides stability to TMJ is the temporomandibular ligament
  • Tracheostomy is performed at tracheal rings 2 or 3

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