Fertilization & Cleavage in Human Development

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Questions and Answers

What is the function of the syncytiotrophoblast during implantation?

  • To facilitate oxygen exchange with maternal blood
  • To initiate the development of the primary follicle
  • To produce enzymes that erode maternal tissues (correct)
  • To provide a protective barrier for the embryo

At what stage does the oocyte get fertilized?

  • At the two-cell stage
  • During the early blastocyst stage
  • Immediately after ovulation
  • Approximately 12 to 24 hours after ovulation (correct)

Which of the following best describes the condition of the blastocyst before implantation?

  • It is deeply embedded within the uterine tissue.
  • It has developed into an advanced morula.
  • It is floating freely in the uterus. (correct)
  • It has formed a complete chorion.

Which layer of the endometrium is referred to as the 'decidua' after implantation?

<p>Compact layer of the endometrium (B)</p> Signup and view all the answers

What occurs during the advanced morula stage of development?

<p>The morula reaches the uterine lumen. (B)</p> Signup and view all the answers

What initiates the penetration of the blastocyst into the uterine endometrium?

<p>Formation of finger-like processes by the trophoblast (D)</p> Signup and view all the answers

What is the primary function of the umbilical arteries in fetal circulation?

<p>Carry fetal blood containing CO2 and waste products to the placenta (D)</p> Signup and view all the answers

What is the typical timeline for the completion of implantation after fertilization?

<p>Starts by the 6th day and completes by the 11th day (B)</p> Signup and view all the answers

Which layer is NOT part of the placental membrane structure?

<p>Amniotic layer (C)</p> Signup and view all the answers

At what stage of pregnancy does the placental membrane begin to thin?

<p>From the fourth month onwards (B)</p> Signup and view all the answers

What is the primary purpose of the placental barrier?

<p>To separate fetal blood from maternal blood while allowing selective exchange (A)</p> Signup and view all the answers

What is contained within the primitive umbilical cord?

<p>Allantois and umbilical blood vessels (C)</p> Signup and view all the answers

What is the significance of the trophoblast differentiating into cytotrophoblast and syncytiotrophoblast?

<p>They facilitate implantation and erode maternal tissues. (D)</p> Signup and view all the answers

What happens to maternal blood during the second week of development?

<p>It enters the lacunar network formed by the syncytiotrophoblast. (B)</p> Signup and view all the answers

At the end of the second week of development, which structures does the inner cell mass differentiate into?

<p>Epiblast and hypoblast. (C)</p> Signup and view all the answers

What is the primary function of the primary villi formed by the cytotrophoblast?

<p>They contribute to the maternal-fetal exchange via the placenta. (A)</p> Signup and view all the answers

Which of the following correctly describes the changes occurring during the second week of development?

<p>The surface defect in the uterine mucosa heals by the end of the second week. (A)</p> Signup and view all the answers

How does gastrulation relate to teratogenesis during fetal development?

<p>Errors during gastrulation can lead to embryonic development abnormalities. (C)</p> Signup and view all the answers

What is formed as a result of the development of vacuoles in extraembryonic mesoderm?

<p>Chorionic cavity. (B)</p> Signup and view all the answers

Which of the following statements is false regarding the development of the amniotic cavity?

<p>The amniotic cavity forms prior to the completion of the bilaminar disc. (A)</p> Signup and view all the answers

What is the result of placenta previa during delivery?

<p>The placenta covers the cervix, which can complicate birth. (C)</p> Signup and view all the answers

What distinguishes the somatopleuric primary mesoderm from the splanchnopleuric primary mesoderm?

<p>Somatopleuric mesoderm forms structures associated with the body wall. (C)</p> Signup and view all the answers

During the second week of development, which of the following pairs of layers are formed from the inner cell mass?

<p>Epiblast and hypoblast (B)</p> Signup and view all the answers

What is a defining characteristic of embryonic stem cells?

<p>They are totipotent and can differentiate into any other cell type. (C)</p> Signup and view all the answers

What is the role of stem cells in regenerative medicine?

<p>They regenerate damaged cells through transplantation. (D)</p> Signup and view all the answers

Which structure is lined by extraembryonic splanchnopleuric mesoderm?

<p>Yolk sac (A)</p> Signup and view all the answers

At which stage of development is the hypoblast formed and spreading beneath the cytotrophoblast?

<p>Implanted blastocyst at 6 days (B)</p> Signup and view all the answers

What does self-renewal in stem cells refer to?

<p>The capacity for unlimited cell division while maintaining an undifferentiated state. (C)</p> Signup and view all the answers

Which terms are used to describe the two layers formed by the trophoblast?

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

Which of the following best describes the bilaminar disc?

<p>It consists of a layer of columnar epiblast cells and a layer of cuboidal hypoblast cells. (C)</p> Signup and view all the answers

What is the ethical concern associated with the use of embryonic stem cells?

<p>They are derived from embryos, raising moral questions. (D)</p> Signup and view all the answers

What defines multipotent stem cells in relation to embryonic stem cells?

<p>They can only differentiate into a limited number of cell types. (B)</p> Signup and view all the answers

What initiates the process of gastrulation in embryonic development?

<p>Formation of the primitive streak. (A)</p> Signup and view all the answers

Which of the following accurately describes the fate of the ectoderm during gastrulation?

<p>It migrates inward to create the mesoderm. (B)</p> Signup and view all the answers

What is the role of the notochord in embryonic development?

<p>It stimulates ectoderm to develop the central nervous system. (C)</p> Signup and view all the answers

During the development of the embryonic disc, the mesoderm is primarily formed from which of the following cells?

<p>Invaginated epiblastic cells. (C)</p> Signup and view all the answers

What is the significance of the primitive node during gastrulation?

<p>It acts as a signaling center for cell differentiation. (C)</p> Signup and view all the answers

What remains of the notochord after it degenerates?

<p>Nucleus pulposus of the intervertebral discs. (A)</p> Signup and view all the answers

Which of the following statements about the formation of the germ layers is true?

<p>The endodermal layer arises from epiblast cells. (B)</p> Signup and view all the answers

What forms the basis for the axial skeleton during development?

<p>Notochord. (C)</p> Signup and view all the answers

What occurs at the area of the oral membrane and the cloacal membrane during embryonic development?

<p>Layers of ectoderm and endoderm are untouched by mesoderm. (C)</p> Signup and view all the answers

What does the presence of placenta previa indicate regarding the position of the placenta at delivery?

<p>The placenta completely covers the internal cervical os. (A), The placenta is delivered before the fetus. (C)</p> Signup and view all the answers

What is the role of the syncytiotrophoblast during the second week of development?

<p>To erode maternal tissues and establish maternal blood flow. (C)</p> Signup and view all the answers

During the second week of development, which process is primarily responsible for the formation of the primitive uteroplacental circulation?

<p>Development of vacuoles in the extraembryonic mesoderm. (C)</p> Signup and view all the answers

What two layers are formed from the inner cell mass in the second week of development?

<p>Epiblast and hypoblast. (A)</p> Signup and view all the answers

What structure is formed by the trophoblast during the second week of development to penetrate the uterine tissue?

<p>Primary villi. (A)</p> Signup and view all the answers

At the end of the second week of development, what fills the space between the trophoblast and the amnion?

<p>Extraembryonic mesoderm. (A)</p> Signup and view all the answers

What is the significance of the development of lacunae in the syncytiotrophoblast during pregnancy?

<p>They are critical for maternal-fetal exchange. (C)</p> Signup and view all the answers

What is the primary consequence of polyhydramnios during pregnancy?

<p>It may indicate underlying fetal or maternal health issues. (B)</p> Signup and view all the answers

Which structure is primarily responsible for forming the lining of the definitive yolk sac?

<p>Exocoelomic membrane (B)</p> Signup and view all the answers

What complication arises from the persistence of the yolk sac?

<p>Fecal umbilical hernia (A)</p> Signup and view all the answers

How does the yolk sac contribute to the development of the gastrointestinal tract?

<p>Its endoderm forms the mucous membrane of the tract. (D)</p> Signup and view all the answers

What is a clinical outcome observed in cases of oligohydramnios?

<p>Higher risk of renal agenesis in the fetus. (B)</p> Signup and view all the answers

What structure is formed as a result of the differentiation of the lateral plate of mesoderm?

<p>Intraembryonic coelom (C)</p> Signup and view all the answers

Which mesodermal structure is responsible for forming the axial skeleton?

<p>Paraxial mesoderm (B)</p> Signup and view all the answers

What is the primary derivative of the endodermal germ layer?

<p>Epithelial lining of the respiratory tract (D)</p> Signup and view all the answers

Which type of mesoderm gives rise to the urinary and genital systems?

<p>Intermediate cell mass (C)</p> Signup and view all the answers

What is the correct order of differentiation in the mesodermal germ layers?

<p>Paraxial, intermediate, lateral plate (D)</p> Signup and view all the answers

Which of the following structures is derived from the ectodermal germ layer?

<p>Nervous system (B)</p> Signup and view all the answers

What happens to the allantois during embryonic development?

<p>It shifts to a ventral position (A)</p> Signup and view all the answers

What distinguishes multipotent stem cells from embryonic stem cells?

<p>Multipotent stem cells can only differentiate into a limited number of cell types. (A)</p> Signup and view all the answers

Which structures do the somites contribute to during development?

<p>Skeletal muscles and axial skeleton (B)</p> Signup and view all the answers

During gastrulation, which of the following processes occurs first?

<p>Establishment of the primitive pit. (B)</p> Signup and view all the answers

What causes the neural plate to appear during embryonic development?

<p>Thickening of ectoderm due to the notochord (B)</p> Signup and view all the answers

Which germ layer is primarily formed from the invaginating epiblast cells during gastrulation?

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

What is the primary consequence of insufficient mesoderm in the embryo during caudal dysgenesis?

<p>Defects in the lower limbs and lumbosacral vertebrae (D)</p> Signup and view all the answers

During embryonic folding, what significant change occurs in the structure of the embryo?

<p>Conversion from a flat trilaminar disc to a cylindrical structure (B)</p> Signup and view all the answers

What structure is formed by mesenchymal cells migrating cranially from the primitive node?

<p>The notochord. (D)</p> Signup and view all the answers

Which developmental stage is most sensitive to teratogenic effects?

<p>Embryonic period (C)</p> Signup and view all the answers

Which of the following statements about the notochord is false?

<p>It persists throughout a person's life. (A)</p> Signup and view all the answers

What defines the function of the primitive streak during the third week of development?

<p>It is the origin of mesoderm and endoderm layers. (C)</p> Signup and view all the answers

What type of tumor can form if remnants of the primitive streak persist?

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

What causes cephalocaudal folding during embryogenesis?

<p>Rapid longitudinal growth of the central nervous system (D)</p> Signup and view all the answers

Which function is NOT attributed to the notochord in embryonic development?

<p>Complete absorption of nutrients. (D)</p> Signup and view all the answers

What is the role of ectoderm during the formation of germ layers?

<p>To serve as a signaling center for mesoderm formation. (D)</p> Signup and view all the answers

Which of the following structures are primarily associated with caudal dysgenesis?

<p>Lower limb fusion and vertebral defects (A)</p> Signup and view all the answers

At what point during development does the definitive endoderm first become established?

<p>After epiblast cells have fully migrated through the primitive streak. (B)</p> Signup and view all the answers

What significant events occur at the end of the fourth week of embryonic development?

<p>Disappearance of the primitive streak (D)</p> Signup and view all the answers

What are the derivatives formed from the ectoderm during embryonic development?

<p>Nervous system and skin (C)</p> Signup and view all the answers

Which of the following describes a potential consequence of maternal diabetes during pregnancy?

<p>Higher incidence of caudal dysgenesis (D)</p> Signup and view all the answers

What defines the embryonic period within human development?

<p>Third to eighth weeks of development (B)</p> Signup and view all the answers

At which stage does the male and female pronuclei form during human development?

<p>Approximately 12 to 24 hours after fertilization (B)</p> Signup and view all the answers

What occurs to the blastocyst immediately after the disappearance of the zona pellucida?

<p>It gets embedded into the decidua (B)</p> Signup and view all the answers

Which correctly describes the transformed state of the endometrium after implantation?

<p>It becomes the decidua (A)</p> Signup and view all the answers

What is the main role of enzymes produced by the syncytiotrophoblast during implantation?

<p>To erode maternal uterine tissues (B)</p> Signup and view all the answers

What distinguishes the cytotrophoblast from the syncytiotrophoblast in the context of implantation?

<p>Cytotrophoblast comprises fewer cells with defined boundaries (A)</p> Signup and view all the answers

When does the advanced morula stage reach the uterine lumen during human development?

<p>About 4 days of age (B)</p> Signup and view all the answers

What is the first structure formed as a result of cellular differentiation from the trophoblast?

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

Identify the two layers into which the trophoblast differentiates.

<p>Cytotrophoblast and Syncytiotrophoblast (C)</p> Signup and view all the answers

What are the two distinct layers formed from the inner cell mass during the second week of development?

<p>Epiblast and Hypoblast (B)</p> Signup and view all the answers

Which type of stem cells are described as capable of differentiating into any cell type?

<p>Totipotent Stem Cells (A)</p> Signup and view all the answers

What does the term 'potency' refer to in the context of stem cells?

<p>The capacity to differentiate into multiple specialized cell types (D)</p> Signup and view all the answers

Which of the following structures is covered by the extraembryonic splanchnopleuric mesoderm?

<p>Yolk Sac (C)</p> Signup and view all the answers

What key event occurs during the late blastocyst stage within the second week of development?

<p>Development of lacunae in syncytiotrophoblast (C)</p> Signup and view all the answers

What is one major ethical concern regarding embryonic stem cell research?

<p>The destruction of human embryos during cell extraction (D)</p> Signup and view all the answers

What is the function of the hypoblast during embryonic development?

<p>To act as a source of endodermal cells (C)</p> Signup and view all the answers

What key structural development occurs by the end of the second week of embryonic development?

<p>Development of the bilaminar disc (D)</p> Signup and view all the answers

Which layer of the placental membrane is not normally involved in nutrient and gas exchange?

<p>Primary mesoderm (B)</p> Signup and view all the answers

What is the main role of the umbilical vein in fetal circulation?

<p>Delivers oxygen and nutrients from the mother to the fetus (D)</p> Signup and view all the answers

What happens to the placental membrane as pregnancy progresses beyond four months?

<p>It thins to increase the exchange rate of materials (C)</p> Signup and view all the answers

Which function is not attributed to the placenta?

<p>Storage of fetal blood (B)</p> Signup and view all the answers

At the end of pregnancy, what change occurs to the placental barrier?

<p>Fibrinoid material is deposited to decrease permeability (D)</p> Signup and view all the answers

What is the primary cause of caudal dysgenesis or sirenomelia?

<p>Insufficient mesoderm formation (A)</p> Signup and view all the answers

What commonly associated factor can lead to the occurrence of caudal dysgenesis?

<p>Maternal diabetes (A)</p> Signup and view all the answers

During which weeks does the embryonic period, or period of organogenesis, primarily occur?

<p>Third to eighth weeks (B)</p> Signup and view all the answers

What process describes the conversion of the flat trilaminar embryonic disc into a cylindrical embryo?

<p>Embryonic folding (B)</p> Signup and view all the answers

What are the two main types of folding that occur during the embryonic period?

<p>Cephalocaudal and transverse folding (B)</p> Signup and view all the answers

What occurs to the primitive streak by the end of the fourth week of development?

<p>It shows regressive changes and disappears (D)</p> Signup and view all the answers

What is a potential result of remnants of the primitive streak persisting in the sacrococcygeal region?

<p>Formation of teratomas (C)</p> Signup and view all the answers

What is one of the primary derivatives of the mesoderm layer during development?

<p>Muscle tissue (B)</p> Signup and view all the answers

Which of the following describes a range of defects commonly associated with sirenomelia?

<p>Lower limb defects and renal agenesis (C)</p> Signup and view all the answers

What is the significance of the embryonic period in relation to teratogens?

<p>It is the most sensitive period for structural defects caused by teratogens. (A)</p> Signup and view all the answers

What is the length of Meckel’s diverticulum?

<p>2 inches (A)</p> Signup and view all the answers

What potential complication can arise from the persistence of the yolk stalk?

<p>Intestinal obstruction (B)</p> Signup and view all the answers

Which of the following represents a developmental remnant of the allantois?

<p>Median umbilical ligament (C)</p> Signup and view all the answers

What is a possible outcome of an abnormality in the allantois?

<p>Urachal fistula (C)</p> Signup and view all the answers

How far is Meckel’s diverticulum typically located from the ileocaecal junction?

<p>2 feet (B)</p> Signup and view all the answers

Which structure forms the umbilical blood vessels derived from the allantois?

<p>Connecting stalk (C)</p> Signup and view all the answers

Which of the following congenital anomalies is not associated with the allantois?

<p>Meckel’s diverticulum (A)</p> Signup and view all the answers

What stage of embryonic development is the allantois primarily involved in?

<p>Cephalocaudal folding (C)</p> Signup and view all the answers

What is the fate of the intraembryonic part of the allantois after birth?

<p>Transforms into the urachus (A)</p> Signup and view all the answers

How frequently does Meckel’s diverticulum occur in the population?

<p>2% (A)</p> Signup and view all the answers

Flashcards

Fertilization Stage

Union of sperm and egg, typically within 12-24 hours of ovulation.

Two-Cell Stage

The embryo at the stage with two cells, approx. 30 hours after fertilization.

Morula Stage

Solid ball of 12-16 cells (blastomeres) formed about 3 days after fertilization.

Blastocyst Stage

Hollow ball (blastocyst) with inner cell mass and an outer layer (trophoblast); zona pellucida disappears.

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Implantation

Blastocyst embeds into the uterine lining (endometrium).

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Syncytiotrophoblast

Outer layer of the trophoblast; multinucleated structure that erodes maternal tissue for nourishment.

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Decidua

Modified uterine lining after implantation (endometrium).

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Placenta Previa

The placenta implants in the lower uterine segment, near the cervix opening, instead of the top of the uterus. This means the placenta will be delivered before the baby during birth.

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Cytotrophoblast

The inner layer of the trophoblast, actively dividing to form new cells.

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Lacunae

Cavities or spaces that form within the syncytiotrophoblast, which eventually connect to the maternal blood vessels.

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Primary Villi

Finger-like projections that arise from the cytotrophoblast, extending into the syncytiotrophoblast. These villi play a critical role in nutrient and waste exchange between the mother and the developing baby.

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Bilaminar Disc

The early embryo is formed of two cell layers: the epiblast and the hypoblast. These layers are positioned one on top of the other, forming a disc-like structure.

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Epiblast

The top layer of the bilaminar disc. This layer will eventually give rise to the ectoderm which is the outermost germ layer.

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Hypoblast

The lower layer of the bilaminar disc. This layer will eventually give rise to endoderm, which is one of the three primary germ layers.

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Amnioblasts

Cells that arise from the epiblast and form the lining of the amniotic cavity, which protects and surrounds the developing baby.

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Extraembryonic somatopleuric mesoderm

The extraembryonic mesoderm that lines the cytotrophoblast and amnion.

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Extraembryonic splanchnopleuric mesoderm

The extraembryonic mesoderm that covers the yolk sac.

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Exocoelomic membrane

A thin membrane that lines the exocoelomic cavity, forming a boundary between the yolk sac and the amnion.

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Self-renewal in stem cells

The ability of a stem cell to divide and create more undifferentiated stem cells, maintaining its state.

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Potency in stem cells

The ability of a stem cell to differentiate into various specialized cell types.

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Totipotent stem cells

Stem cells capable of differentiating into all cell types, including the placenta.

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What is the purpose of the umbilical cord?

The umbilical cord connects the fetus to the placenta, delivering oxygen and nutrients from the mother and carrying away waste products.

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Why is the placental barrier important?

The placental barrier separates fetal and maternal blood, preventing mixing while allowing exchange of gases, nutrients, and waste products.

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What are the layers of the placental membrane?

The placental membrane is initially composed of four layers: the endothelial lining of fetal vessels, primary mesoderm, cytotrophoblast, and syncytiotrophoblast.

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What is Warton's jelly?

Warton's jelly is a gelatinous substance that surrounds the blood vessels in the umbilical cord, providing cushioning and support.

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What is the primitive umbilical cord?

The primitive umbilical cord is formed during folding and contains the body stalk, yolk stalk, and extraembryonic coelom.

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Trilaminar Germ Disc

The three-layered structure formed during gastrulation, consisting of ectoderm, mesoderm, and endoderm.

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Gastrulation

The process of forming the three germ layers (ectoderm, mesoderm, and endoderm) from a bilaminar disc.

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Primitive Streak

A midline groove that forms on the epiblast during gastrulation, initiating cell migration and germ layer formation.

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Primitive Node

The cephalic end of the primitive streak, a crucial site for cell migration and notochord formation.

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Notochord

A rod-shaped structure formed from migrating cells, serving as the axis for the developing skeleton and inducing neural tube formation.

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Ectoderm

The outermost germ layer, responsible for forming tissues like skin, nervous system, and sensory organs.

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Mesoderm

The middle germ layer, forming muscles, bones, blood, and connective tissues.

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Endoderm

The innermost germ layer, responsible for forming lining of digestive and respiratory tracts, glands, and organs.

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What is the purpose of the notochord?

The notochord provides structural support, induces the formation of the nervous system, and ultimately degenerates to form components of the intervertebral discs.

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What is the source of the three germ layers?

The epiblast (ectoderm) is the source of all three germ layers; cells migrate and differentiate to form the endoderm and mesoderm.

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Embryonic Folding

The process of converting the flat, trilaminar embryonic disc into a cylindrical embryo. It occurs during the 3rd and 4th weeks of development.

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Cephalocaudal Folding

A type of embryonic folding that happens along the head-to-tail axis due to the rapid growth of the central nervous system.

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Caudal Dysgenesis

A birth defect caused by insufficient mesoderm formation in the caudal region of the embryo, leading to abnormalities in the lower body.

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Sacrococcygeal Teratoma

A tumor that arises from remnants of the primitive streak persisting in the sacrococcygeal region.

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What are the three germ layers?

The three primary layers of cells that develop during gastrulation: ectoderm, mesoderm, and endoderm.

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Role of the Notochord

The notochord, a rod-shaped structure, provides structural support, induces the formation of the nervous system, and eventually contributes to the intervertebral discs.

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Ectoderm Derivatives

The ectoderm gives rise to tissues like skin, nervous system, and sensory organs.

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Mesoderm Derivatives

The mesoderm is the middle layer and differentiates into muscles, bones, blood, and connective tissues.

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Endoderm Derivatives

The endoderm is the inner layer and gives rise to the lining of the digestive and respiratory tracts, glands, and other internal organs.

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Teratogens and Embryonic Period

The embryonic period (3rd to 8th weeks) is the most sensitive stage for teratogens (substances that cause birth defects) to disrupt development and cause structural abnormalities.

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Buccopharyngeal membrane

A thin membrane separating the primitive mouth (stomodeum) from the foregut during early embryonic development.

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Septum transversum

A sheet of tissue that eventually forms the diaphragm, separating the thoracic and abdominal cavities.

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Craniocaudal order

Arrangement of body parts from head to tail, reflecting the direction of embryonic development.

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Somites

Paired blocks of mesoderm tissue that give rise to vertebrae, muscles, and skin.

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Axial skeleton

The bones that form the central axis of the body, including the skull, vertebral column, and ribs.

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Intraembryonic coelom

A cavity that forms within the lateral plate of mesoderm, eventually becoming the body cavities.

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Somatic layer

The outer layer of the lateral plate mesoderm, which gives rise to the muscles of the body wall.

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Splanchnic layer

The inner layer of the lateral plate mesoderm, which gives rise to the smooth muscles of the internal organs.

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Fore Bag of Water

During labor, the amniotic sac bulges into the cervix creating the "fore bag of water" which helps dilate the cervix. It also serves as a lubricant and bacteriostatic agent.

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Polyhydramnios

A condition where there's excessive amniotic fluid (more than 1.5-2 liters). This can be caused by fetal abnormalities like anencephaly, esophageal atresia, or maternal diabetes.

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Oligohydramnios

A condition where there's too little amniotic fluid (less than half a liter). It can be due to fetal kidney problems (renal agenesis) or placental insufficiency.

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Caul de sac

The delivery of a baby still enclosed in the intact amniotic membrane. This is rare and usually requires prompt action.

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Yolk Sac Function

The yolk sac, present in the early embryo, helps form parts of the digestive and respiratory systems, urinary bladder lining, and provides blood cell precursors. It also houses primordial germ cells that develop into eggs and sperm.

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What happens if implantation extends deeper than the compact layer?

Implantation extending deeper than the compact layer can lead to complications, including placenta previa, placental abruption, or even uterine rupture.

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What are the two layers of the trophoblast?

The trophoblast differentiates into two layers: the inner cytotrophoblast and the outer syncytiotrophoblast.

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What is the role of the syncytiotrophoblast in implantation?

The syncytiotrophoblast produces enzymes that erode the maternal tissues, enabling the blastocyst to burrow into the endometrium.

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What are the 2 layers the trophoblast differentiates into?

The trophoblast differentiates into the inner cytotrophoblast and the outer syncytiotrophoblast.

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What are the 2 layers the inner cell mass differentiates into?

The inner cell mass differentiates into the epiblast and the hypoblast.

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What is the final product of the first week of development?

The final product of the first week of development is the bilaminar disc, composed of the epiblast and hypoblast.

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What are the sources of stem cells?

Stem cells can be obtained from embryonic cells (limited use due to ethical concerns) and adult cells (obtained from sources like bone marrow).

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Caudal Dysgenesis (Sirenomelia)

A birth defect caused by insufficient mesoderm formation in the caudal region of the embryo, leading to abnormalities in the lower body, including fused legs, vertebral defects and genital abnormalities.

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Derivatives of Ectoderm

The ectoderm, the outermost germ layer, differentiates into tissues like skin, nervous system, and sensory organs.

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Derivatives of Mesoderm

The mesoderm, the middle germ layer, differentiates into muscles, bones, blood, and connective tissues.

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Derivatives of Endoderm

The endoderm, the innermost germ layer, differentiates into the lining of the digestive and respiratory tracts, glands, and other internal organs.

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What is the importance of the embryonic period?

The embryonic period, from the third to the eighth weeks of development, is when all major organs and organ systems form. It's a crucial period because it's when the foundation of the body is laid down.

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What makes the embryonic period so sensitive to teratogens?

During the embryonic period, cells are rapidly dividing and differentiating to form various tissues and organs. This rapid development makes the embryo highly susceptible to disruptions caused by harmful substances called teratogens.

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Fetal blood in umbilical arteries

Fetal blood in the umbilical arteries carries CO2 and waste products from the fetus to the placenta.

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Placental barrier function

The placental barrier prevents mixing of fetal and maternal blood while allowing exchange of gases, nutrients, and waste products.

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Primitive umbilical cord contents

The primitive umbilical cord forms during folding and contains the body stalk (with blood vessels), yolk stalk (with blood vessels), and the remaining part of the extra embryonic coelom.

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Meckel's Diverticulum

A small pouch in the ileum (small intestine) that forms due to the persistence of a part of the yolk sac. It's usually 2 inches long and located about 2 feet from the ileocecal junction. It occurs in about 2% of people.

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Fibrous Band

A string-like structure that forms when the yolk stalk disappears. It can sometimes cause intestinal obstruction.

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Allantois

A small pouch that arises from the yolk sac during embryonic development and extends into the connecting stalk. Its main function is to form the umbilical blood vessels and contribute to the formation of the bladder.

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Urachal Cyst

A fluid-filled sac that forms when the allantois doesn't completely close off. It's located between the bladder and the umbilicus.

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Urachal Sinus

A small opening at the umbilicus that persists when the allantois doesn't fully close. It can sometimes lead to infection.

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Urachal Fistula

An abnormal connection between the bladder and the umbilicus, formed when the allantois doesn't fully obliterate. It can cause urine leakage from the umbilicus.

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Median Umbilical Ligament

A fibrous cord that connects the bladder to the umbilicus, formed from the obliterated intraembryonic part of the allantois after birth.

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Placenta

An organ that forms during pregnancy, providing nutrients and oxygen to the developing baby and removing waste products.

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Umbilical Cord

A tube connecting the baby to the placenta, carrying blood vessels that transport nutrients, oxygen, and waste products.

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Placental Barrier

A protective membrane that separates the baby's blood from the mother's blood while allowing the exchange of essential substances like nutrients, oxygen, and waste.

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Study Notes

Fertilization, Cleavage & Implantation

  • Fertilization is the fusion of mature sperm and ovum
  • The fertilization site is the ampullary part of the uterine tube
  • Spermatozoa require capacitation and the acrosome reaction to fertilize the oocyte
  • Spermatozoa have a head, containing the nucleus and acrosome, and a tail (flagellum) with mitochondria
  • The acrosome contains enzymes (e.g., acrosin) to penetrate the zona pellucida
  • The acrosome reaction occurs after sperm binds to the zona pellucida
  • Fertilization normally restores the diploid number of chromosomes
  • Fertilization determines the sex of the embryo
  • Ovulation and fertilization occur approximately 24 hours apart
  • Fertilization initiates cleavage
  • Cleavage is a series of mitotic cell divisions
  • The cleavage site is the uterine tube, medial to the ampulla
  • Cleavage leads to the formation of a morula, then a blastocyst

Blastocyst Formation

  • The morula enters the uterus and forms a cavity (blastocele)
  • Blastomeres divide into inner cell mass and outer cell mass
  • The inner cell mass forms the embryo
  • The outer cell mass forms the trophoblast, which develops into the placenta
  • The zona pellucida disappears before implantation
  • The blastocyst implants approximately 6 days after fertilization

Implantation

  • Implantation is the embedding of the blastocyst into the uterine wall
  • Normal implantation occurs in the endometrium of the anterior or posterior wall of the uterus, typically in the middle of the uterine wall
  • A layer proliferates around the blastocyst and becomes differentiated into inner layer of cytotrophoblasts and outer layer of syncytiotrophoblast
  • The syncytiotrophoblast produces enzymes to erode the uterine tissue
  • The endometrium is called the decidua after implantation

Decidua

  • Decidua basalis is the part of the endometrium lying between the blastocyst and the myometrium
  • Decidua capsularis is the part of the endometrium that covers the surface of the implanted blastocyst
  • Decidua parietalis is the endometrium lining the rest of the uterine cavity
  • Decidua marginalis is the part of the endometrium at the junction between the decidua capsularis and parietalis

Clinical Correlation

  • Abnormal implantation (ectopic pregnancy) occurs outside the uterus
  • Common ectopic pregnancy site is in the fallopian tube
  • Placenta previa is implantation of the blastocyst in the lower segment of the uterus

The Second and Third Weeks of Development

  • The blastocyst becomes partially embedded in the endometrial stroma (during the second week)
  • The trophoblast differentiates into two layers (cytotrophoblast and syncytiotrophoblast)
  • Lacunae (cavities) develop in the syncytiotrophoblast
  • The inner cell mass differentiates into epiblast and hypoblast
  • The epiblast and hypoblast together form a bilaminar embryonic disc
  • The extraembryonic mesoderm forms the extraembryonic coelom

Gastrulation

  • It happens when the bilaminar disc converts into a trilaminar germ disc
  • A midline primitive streak forms on the epiblast
  • Epiblast cells migrate into the primitive streak, forming the endoderm and mesoderm
  • The cells form the notochord, a structure that runs along the midline that guides the development of the body axis

Neuralation

  • The neural plate forms in the dorsal ectoderm over the notochord
  • Neural folds develop, which fuse to form the neural tube
  • The neural crest cells form between the neural tube and ectoderm

The Fetal Membranes

  • The membranes are the chorion, amnion, yolk sac, allantois
  • Chorion forms the fetal part of the placenta
  • Amnion surrounds the developing embryo/fetus
  • Yolk sac provides nutrition during early development
  • Allantois is involved in the formation of the umbilical cord and urinary bladder
  • The formation of the villous structure depends on the formation of tertiary villi
  • The placenta exchanges nutrients and waste products from the fetal and maternal circulation
  • The structure of the placental barrier consists of three layers comprising the syncytiotrophoblast, cytotrophoblast and mesoderm (intervillous spaces)

The Umbilical Cord

  • Consists of blood vessels (2 arteries and 1 vein) surrounded by Wharton's jelly
  • Develops between the chorionic and decidual plates

The 2nd and 3rd Trimester

  • The fetal period occurs from the 9th week until birth
  • Rapid growth and maturation of tissues and organs are the main events during the fetal period
  • The size of the head is relatively smaller compared to the body during the fetal period
  • Several milestones occur during the development of the fetal period, including the appearance of taste buds, swallowing, respiratory and sucking movements, and the development of hearing and light sensitivity
  • The fetus gains weight throughout the fetal period, especially in the last trimester
  • Congenital anomalies can occur during development

Low Birth Weight

  • Variations in fetal length and weight occur; they are influenced by both genetic and environmental factors.
  • Several medical conditions can affect the fetus's development, resulting in low birth weight

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