Folic Acid Deficiency and Neural Tube Defects
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Questions and Answers

What is the recommended daily intake of folic acid for women of childbearing age?

  • 0.8mg
  • 0.1mg
  • 1.0mg
  • 0.4mg (correct)
  • What type of inheritance pattern is typically associated with sex-linked disorders?

  • X-linked recessive (correct)
  • Mitochondrial inheritance
  • Autosomal recessive
  • Autosomal dominant
  • Which system(s) is/are effected by Marfan's Syndrome

  • Skeletal (correct)
  • Cardiovascular (correct)
  • Endcodrine
  • Eyes (correct)
  • What is a common skeletal deformity associated with Marfan syndrome?

    <p>All of the above</p> Signup and view all the answers

    What is the most life-threatening aspect of Marfan syndrome?

    <p>Cardiovascular defects</p> Signup and view all the answers

    Why do female heterozygotes rarely experience the effects of a recessive defective gene?

    <p>Because they have a normal X chromosome</p> Signup and view all the answers

    What is the purpose of taking folic acid supplements for women of childbearing age?

    <p>To prevent neural tube defects</p> Signup and view all the answers

    What is the typical mode of inheritance for Marfan syndrome?

    <p>Autosomal dominant</p> Signup and view all the answers

    What is the primary function of adaptive immunity?

    <p>To mount an immune response to an antigen through vaccination or environmental exposure</p> Signup and view all the answers

    What is the main difference between innate and adaptive immunity?

    <p>Innate immunity is an immediate defense, while adaptive immunity requires time to develop</p> Signup and view all the answers

    What is the role of plasmids in bacteria?

    <p>To increase antibiotic resistance in bacteria</p> Signup and view all the answers

    What is the function of the cytoplasmic membrane in bacteria?

    <p>To regulate the movement of molecules in and out of the cell</p> Signup and view all the answers

    What is the primary function of immunoglobulins in the humoral defense mechanism?

    <p>To recognize and bind to specific antigens</p> Signup and view all the answers

    What is the primary difference between active and passive immunity?

    <p>Active immunity requires the host's immune system, while passive immunity involves transfer from another source</p> Signup and view all the answers

    What is the function of IgG antibodies in infants?

    <p>To provide short-term protection against infection</p> Signup and view all the answers

    What is a capability of prokaryotes?

    <p>To cause disease in hosts</p> Signup and view all the answers

    In terms of embryonic development, what takes place during the "Period of Vulnerability"?

    <p>Organ differentiation</p> Signup and view all the answers

    Which of the following is NOT a TORCH infection?

    <p>HIV</p> Signup and view all the answers

    What is the primary effect of folic acid deficiency on embryonic development?

    <p>Increased risk of neural tube defects</p> Signup and view all the answers

    Which of the following is an autosomal dominant disorder?

    <p>Huntington's disease</p> Signup and view all the answers

    What is the primary mechanism by which teratogenic agents affect embryonic development?

    <p>Alteration of gene expression</p> Signup and view all the answers

    Which of the following is an example of a secondary prevention measure?

    <p>Pap smear</p> Signup and view all the answers

    What is the primary effect ofTORCH infections on fetal development?

    <p>Growth retardation and microcephaly</p> Signup and view all the answers

    What is the primary function of folic acid in embryonic development?

    <p>Neural tube formation</p> Signup and view all the answers

    Study Notes

    Folic Acid Deficiency

    • Implicated in neural tube defects (anencephaly, spina bifida, encephalocele)
    • Taking folic acid daily by women of reproductive age reduces neural tube defects
    • Recommended daily intake: 0.4mg

    Sex-Linked Recessive Inheritance

    • Almost always associated with the X chromosome
    • Inheritance is predominantly recessive
    • Female heterozygotes (carriers) rarely experience effects due to a normal X
    • Males who receive the gene are typically affected as they only have the mutant copy

    Marfan Syndrome

    • Autosomal dominant disorder of connective tissue
    • Affects several organ systems (eyes, cardiovascular, skeletal)
    • Characteristics: long thin body, long extremities, long tapered fingers, hyperextensible joints, spinal deformities
    • Can cause cardiovascular defects (mitral valve prolapse, aortic valve ring dilation)
    • No cure

    Infectious Disease

    • Virulence: disease-producing potential
    • Pathogens: microorganisms capable of causing disease
    • Prokaryotes: unicellular organisms, bacteria, lack organized nucleus
    • Plasmids: extrachromosomal pieces of circular DNA in bacteria, can increase virulence or antibiotic resistance
    • Cytoplasm: contains reproductive and metabolic machinery of the cell
    • Cytoplasmic membrane: flexible lipid membrane

    Adaptive Immunity

    • Acquired through vaccination or environmental exposure
    • Requires host's immune system to develop an immunologic response
    • Long-lasting, but takes days to weeks to develop
    • Can provide long-term protection

    Passive Immunity

    • Transferred from another source
    • Common source: mother to fetus (IgG antibodies via placenta and breast milk)
    • Provides short-term protection (weeks to months)

    Immunoglobulins

    • Protein molecules also known as antibodies
    • Classified into 5 categories based on their role in humoral defense mechanism
    • Comprised of four-polypeptide chains with at least 2 identical antigen-binding sites

    Evidence-Based Practice

    • Integration of practitioner's clinical expertise with best external clinical evidence from systematic research

    Prenatal Care

    • Dietary recommendations to prevent neural tube defects: folic acid

    Secondary Prevention

    • Detects disease early when asymptomatic and treatment can cure or stop progression
    • Examples: pap smear, asking about smoking, blood pressure measurement, cholesterol levels, colonoscopy

    Genetic and Congenital Disorders

    • Period of vulnerability: embryo's development is most easily disturbed during organogenesis (day 15-60 after conception)
    • Environmental influences during the first 2 weeks after fertilization may interfere with implantation, resulting in abortion or early resorption of the products of conception

    TORCH Infections

    • Toxoplasmosis
    • Other (varicella-zoster, listeriosis, leptospirosis, Epstein-barr virus, TB, syphilis)
    • Rubella (German measles)
    • Cytomegalovirus
    • Herpes
    • Common manifestations: growth retardation, brain abnormalities, eye and ear defects, liver and hematopoietic system disorders, lung and heart defects

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    Description

    Folic acid deficiency is linked to neural tube defects. Learn about the recommended daily intake and its impact on pregnancy. This chapter covers genetic disorders and inheritance patterns.

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