WorksheetsOB - fetal skeleton
Total questions: 58
Worksheet time: 40mins
term used to describe abnormal growth and density of cartilage and bone, incidence 3 in 10,000 births, greater incidence with still births
(a)
majority of the musculoskeletal system forms from the primitive (a) arising from mesenchymal cells that are the embryonic connective tissue
limb development begins the ____ day after conception with lower extremity development begins ___ days later
26/27, 2
26/27, 4
24/25, 2
24/25, 4
fingers are distinctly evident by day (a)
T/F: pt whose fetus is at risk for a skeletal dysplasia is commonly referred to a maternal-fetal center for genetic counseling and a targeted ultrasound
true
false
select all that apply: most prenatally diagnosed skeletal dysplasias occur in association with
polyhydramnios
oligohydramnios
other fetal anomalies
risk for recurrence
shortening of the proximal bone segment (humerus/femur)
rhizomelia
mesomelia
micromelia
shortening of the middle segments (radius/ulna , tibia, fibula)
rhizomelia
mesomelia
micromelia
shortening of the entire extremity
mesomelia
rhizomelia
micromelia
most common LETHAL skeletal dysplasia
thanatophoric dysplasia
achondroplasia
achondrogenesis
osteogenesis imperfecta
what type of thanatophoric dysplasia is characterized by short, curved femurs and flat vertebral bodies?
(a)
what type of thanatophoric dysplasia is characterized by straight, short femurs, flat vertebral bodies, and cloverleaf skull
(a)
occurs as a result of premature craniosynostosis and may be associated with agenesis of the corpus callosum
lemon head
cloverleaf skull
Kleeblattschadel skull
frontal bossing
most common non-lethal skeletal dysplasia, result of decreased endochondral bone formation producing short, squat bones
achondroplasia
thanatophoric dysplasia
achondrogenesis
camptomelic dysplasia
which factor increases risk for achondroplasia
advanced maternal age
maternal diabetes
advances paternal age
maternal drug use
(a) achondroplasia is inherited from one parent and has a good survival rate with normal intelligence and normal life span
(a) achondroplasia is inherited from two parents and is considered lethal with most infants dying shortly after birth due to respiratory complications
______ is a rare, lethal skeletal dysplasia caused by cartilage abnormalities that result in abnormal bone formation and hypomineralization
achondrogenesis
achondroplasia
osteogenesis imperfecta
camptomelic dysplasia
which type of achondrogenesis is less severe but more common, result of spontaneous mutation
type 1 (Parenti-Fraccaro)
type 2 (Langer-Saldino)
rare disorder of collagen production leading to brittle bones, manifests in teeth, skin, ligaments, and blue sclera
osteogenesis imperfecta
thanatophoric dysplasia
caudal regression syndrome
Ellis-van Creveld syndrome
which type of osteogenesis imperfecta is considered the most severe and lethal
type 1
type 2
type 3
type 4
with osteogenesis imperfecta, the (a) structures are easily seen due to hypomineralization of the calvarium
condition that presents with diffuse hypomineralization of the bone caused by an alkaline phosphatase deficiency
osteogenesis imperfecta
hypophosphatasia
camptomelic dysplasia
diastrophic dysplasia
congenital hypophosphastasia is a lethal disorder usually resulting in death shortly after delivery due to (a) complications
select all that apply: brain structures are easily seen due to poorly ossified cranium
osteogenesis imperfecta
congenital hypophosphatasia
short-rib polydactyly syndrome
robert's syndrome
rare disorder characterized by micromelia, talipes, cleft palate, micrognathia, scoliosis, short stature, earlobe deformities, and hand abnormalities
diastrophic dysplasia
camptomelic dysplasia
jeune's syndrome
Ellis-van Creveld syndrome
diastrophic dysplasia is not lethal, mutation has been mapped to the long arm of chromosome 5, and has an increased frequency in the (a) population
group of lethal skeletal dysplasias that are characterized by bowing of the long bones
camptomelic dysplasia
arthrogryposis multiplex congenita
pena-shokeir syndrome
caudal regression syndrome
infants that survive the neonatal period with camptomelic dysplasia usually die within the first year suffering from
respiratory problems
feeding problems
developmental delays
mental retardation
rare, autosomal recessive disorder characterized by phocomelia, facial anomalies, and a poor prognosis ; aka pseudothalidomide syndrome
robert's syndrome
short-rib polydactyly syndrome
jeune's syndrome
Ellis-van Creveld syndrome
the vertebral column and ribs are derived from the
somites
lateral plate mesoderm
mesenchymal cells of the neural crest (ectoderm origin)
mesenchymal cells of primitive mesoderm
the limbs are derived of the
somites
lateral plate mesoderm
mesenchymal cells of primitive mesoderm
mesenchymal cells of the neural crest (ectoderm origin)
the roof and the base of the skull are derived of
somites
lateral plate mesoderm
mesenchymal cells of primitive mesoderm
mesenchymal cells of the neural crest (ectoderm origin)
the facial bones are derived of the
mesenchymal cells of the neural crest (ectoderm origin)
mesenchymal cells of primitive mesoderm
lateral plate mesoderm
somites
condition of disproportionately smaller stature
(a)
achondroplasia may not be evident on ultrasound until after ____ weeks
18
16
22
30
select all that apply: osteogenesis imperfecta manifests in the ____
teeth
skin
blue sclera
ligaments
tendons
T/F: osteogenesis imperfecta is noted to be linked to mutations in COL1A1 and COL1A2 genes
true
false
T/F: stillbirths and infant mortality are common with Robert's syndrome, survivors suffer from growth restriction and severe mental retardation
true
false
lethal disorder characterized by short ribs, short limbs, and polydactyly
short-rib polydactyly syndrome
jeune's syndrome
Robert's syndrome
sirenomelia
disorder characterized by a very narrow thorax also known as asphyxiating thoracic dysplasia
Ellis-van Creveld syndrome
Jeune's syndrome
Pena-Shokeir syndrome
arthrogryposis multiplex congenita
rare disorder that has an increased risk in the Amish community, also known as chondroectodermal dysplasia
Ellis-van Creveld syndrome
caudal regression syndrome
Robert's syndrome
thanatophoric dysplasia
survivors of Ellis-van Creveld syndrome typically exhibit
normal intelligence and short in stature
grow restriction and severe mental retardation
rare disorder that is a range of malformations of the caudal end of the neural tub ; has been associated with maternal diabetes
caudal regression syndrome (CRS)
short-rib polydactyly syndrome
pena-shokeir syndrome
achondroplasia
extreme form of caudal regression syndrome characterized by fusion of the lower extremities ; higher prevalence in males
sirenomelia
vacterl
lethal multiple pterygium syndrome
Amelia
T/F: vascular hypo perfusion is thought to be a causative factor for sirenomelia and a single umbilical artery is commonly seen
true
false
VACTERL is a group of anomalies that may occur together, considered if at least (a) features are identified in a fetus
vacterl associated with hydrocephalus
(a)
decreased fetal (a) may result in abnormal contractures and postural deformities
severe contractures of the extremities because of abnormal innovation and disorder of muscles and connective tissues
arthrogryposis multiplex congenita
short-rib polydactyly syndrome
lethal multiple pterygium syndrome
pena-shokeir syndrome
disorder characterized by webbing across the joints and multiple contractures
arthrogryposis multiplex congenita
lethal multiple pterygium syndrome
Robert's syndrome
sirenomelia
disorder characterized by abnormal joint contractures, facial abnormalities, polyhydramnios, IUGR, and pulmonary hypoplasia
pena-shokeir syndrome
lethal multiple pterygium syndrome
Jeune's syndrome
achrondrogenesis
congenital absence of one or more of the extremities
(a)
fused digits
(a)
overlapping digits
(a)
______ ___ defects are characterized by hypoplasia or aplasia of the radius and thumb ; commonly seen with trisomies 13 and 18, VACTERL association
(a)
clubfoot or (a) is a deformity of the foot and ankle ; has a male predominance
deformity characterized by a prominent heel and a convex sole ; assoc. w/ multiple syndromes and chromosomal anomalies (tri 18)
(a)
