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OB - fetal skeleton

Total questions: 58

Worksheet time: 40mins

Name
Class
Date
1.

term used to describe abnormal growth and density of cartilage and bone, incidence 3 in 10,000 births, greater incidence with still births

(a)  

2.

majority of the musculoskeletal system forms from the primitive (a)   arising from mesenchymal cells that are the embryonic connective tissue

3.

limb development begins the ____ day after conception with lower extremity development begins ___ days later

a)

26/27, 2

b)

26/27, 4

c)

24/25, 2

d)

24/25, 4

4.

fingers are distinctly evident by day (a)  

5.

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

a)

true

b)

false

6.

select all that apply: most prenatally diagnosed skeletal dysplasias occur in association with

a)

polyhydramnios

b)

oligohydramnios

c)

other fetal anomalies

d)

risk for recurrence

7.

shortening of the proximal bone segment (humerus/femur)

a)

rhizomelia

b)

mesomelia

c)

micromelia

8.

shortening of the middle segments (radius/ulna , tibia, fibula)

a)

rhizomelia

b)

mesomelia

c)

micromelia

9.

shortening of the entire extremity

a)

mesomelia

b)

rhizomelia

c)

micromelia

10.

most common LETHAL skeletal dysplasia

a)

thanatophoric dysplasia

b)

achondroplasia

c)

achondrogenesis

d)

osteogenesis imperfecta

11.

what type of thanatophoric dysplasia is characterized by short, curved femurs and flat vertebral bodies?

(a)  

12.

what type of thanatophoric dysplasia is characterized by straight, short femurs, flat vertebral bodies, and cloverleaf skull

(a)  

13.

occurs as a result of premature craniosynostosis and may be associated with agenesis of the corpus callosum

a)

lemon head

b)

cloverleaf skull

c)

Kleeblattschadel skull

d)

frontal bossing

14.

most common non-lethal skeletal dysplasia, result of decreased endochondral bone formation producing short, squat bones

a)

achondroplasia

b)

thanatophoric dysplasia

c)

achondrogenesis

d)

camptomelic dysplasia

15.

which factor increases risk for achondroplasia

a)

advanced maternal age

b)

maternal diabetes

c)

advances paternal age

d)

maternal drug use

16.

(a)   achondroplasia is inherited from one parent and has a good survival rate with normal intelligence and normal life span

17.

(a)   achondroplasia is inherited from two parents and is considered lethal with most infants dying shortly after birth due to respiratory complications

18.

______ is a rare, lethal skeletal dysplasia caused by cartilage abnormalities that result in abnormal bone formation and hypomineralization

a)

achondrogenesis

b)

achondroplasia

c)

osteogenesis imperfecta

d)

camptomelic dysplasia

19.

which type of achondrogenesis is less severe but more common, result of spontaneous mutation

a)

type 1 (Parenti-Fraccaro)

b)

type 2 (Langer-Saldino)

20.

rare disorder of collagen production leading to brittle bones, manifests in teeth, skin, ligaments, and blue sclera

a)

osteogenesis imperfecta

b)

thanatophoric dysplasia

c)

caudal regression syndrome

d)

Ellis-van Creveld syndrome

21.

which type of osteogenesis imperfecta is considered the most severe and lethal

a)

type 1

b)

type 2

c)

type 3

d)

type 4

22.

with osteogenesis imperfecta, the (a)   structures are easily seen due to hypomineralization of the calvarium

23.

condition that presents with diffuse hypomineralization of the bone caused by an alkaline phosphatase deficiency

a)

osteogenesis imperfecta

b)

hypophosphatasia

c)

camptomelic dysplasia

d)

diastrophic dysplasia

24.

congenital hypophosphastasia is a lethal disorder usually resulting in death shortly after delivery due to (a)   complications

25.

select all that apply: brain structures are easily seen due to poorly ossified cranium

a)

osteogenesis imperfecta

b)

congenital hypophosphatasia

c)

short-rib polydactyly syndrome

d)

robert's syndrome

26.

rare disorder characterized by micromelia, talipes, cleft palate, micrognathia, scoliosis, short stature, earlobe deformities, and hand abnormalities

a)

diastrophic dysplasia

b)

camptomelic dysplasia

c)

jeune's syndrome

d)

Ellis-van Creveld syndrome

27.

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

28.

group of lethal skeletal dysplasias that are characterized by bowing of the long bones

a)

camptomelic dysplasia

b)

arthrogryposis multiplex congenita

c)

pena-shokeir syndrome

d)

caudal regression syndrome

29.

infants that survive the neonatal period with camptomelic dysplasia usually die within the first year suffering from

a)

respiratory problems

b)

feeding problems

c)

developmental delays

d)

mental retardation

30.

rare, autosomal recessive disorder characterized by phocomelia, facial anomalies, and a poor prognosis ; aka pseudothalidomide syndrome

a)

robert's syndrome

b)

short-rib polydactyly syndrome

c)

jeune's syndrome

d)

Ellis-van Creveld syndrome

31.

the vertebral column and ribs are derived from the

a)

somites

b)

lateral plate mesoderm

c)

mesenchymal cells of the neural crest (ectoderm origin)

d)

mesenchymal cells of primitive mesoderm

32.

the limbs are derived of the

a)

somites

b)

lateral plate mesoderm

c)

mesenchymal cells of primitive mesoderm

d)

mesenchymal cells of the neural crest (ectoderm origin)

33.

the roof and the base of the skull are derived of

a)

somites

b)

lateral plate mesoderm

c)

mesenchymal cells of primitive mesoderm

d)

mesenchymal cells of the neural crest (ectoderm origin)

34.

the facial bones are derived of the

a)

mesenchymal cells of the neural crest (ectoderm origin)

b)

mesenchymal cells of primitive mesoderm

c)

lateral plate mesoderm

d)

somites

35.

condition of disproportionately smaller stature

(a)  

36.

achondroplasia may not be evident on ultrasound until after ____ weeks

a)

18

b)

16

c)

22

d)

30

37.

select all that apply: osteogenesis imperfecta manifests in the ____

a)

teeth

b)

skin

c)

blue sclera

d)

ligaments

e)

tendons

38.

T/F: osteogenesis imperfecta is noted to be linked to mutations in COL1A1 and COL1A2 genes

a)

true

b)

false

39.

T/F: stillbirths and infant mortality are common with Robert's syndrome, survivors suffer from growth restriction and severe mental retardation

a)

true

b)

false

40.

lethal disorder characterized by short ribs, short limbs, and polydactyly

a)

short-rib polydactyly syndrome

b)

jeune's syndrome

c)

Robert's syndrome

d)

sirenomelia

41.

disorder characterized by a very narrow thorax also known as asphyxiating thoracic dysplasia

a)

Ellis-van Creveld syndrome

b)

Jeune's syndrome

c)

Pena-Shokeir syndrome

d)

arthrogryposis multiplex congenita

42.

rare disorder that has an increased risk in the Amish community, also known as chondroectodermal dysplasia

a)

Ellis-van Creveld syndrome

b)

caudal regression syndrome

c)

Robert's syndrome

d)

thanatophoric dysplasia

43.

survivors of Ellis-van Creveld syndrome typically exhibit

a)

normal intelligence and short in stature

b)

grow restriction and severe mental retardation

44.

rare disorder that is a range of malformations of the caudal end of the neural tub ; has been associated with maternal diabetes

a)

caudal regression syndrome (CRS)

b)

short-rib polydactyly syndrome

c)

pena-shokeir syndrome

d)

achondroplasia

45.

extreme form of caudal regression syndrome characterized by fusion of the lower extremities ; higher prevalence in males

a)

sirenomelia

b)

vacterl

c)

lethal multiple pterygium syndrome

d)

Amelia

46.

T/F: vascular hypo perfusion is thought to be a causative factor for sirenomelia and a single umbilical artery is commonly seen

a)

true

b)

false

47.

VACTERL is a group of anomalies that may occur together, considered if at least (a)   features are identified in a fetus

48.

vacterl associated with hydrocephalus

(a)  

49.

decreased fetal (a)   may result in abnormal contractures and postural deformities

50.

severe contractures of the extremities because of abnormal innovation and disorder of muscles and connective tissues

a)

arthrogryposis multiplex congenita

b)

short-rib polydactyly syndrome

c)

lethal multiple pterygium syndrome

d)

pena-shokeir syndrome

51.

disorder characterized by webbing across the joints and multiple contractures

a)

arthrogryposis multiplex congenita

b)

lethal multiple pterygium syndrome

c)

Robert's syndrome

d)

sirenomelia

52.

disorder characterized by abnormal joint contractures, facial abnormalities, polyhydramnios, IUGR, and pulmonary hypoplasia

a)

pena-shokeir syndrome

b)

lethal multiple pterygium syndrome

c)

Jeune's syndrome

d)

achrondrogenesis

53.

congenital absence of one or more of the extremities

(a)  

54.

fused digits

(a)  

55.

overlapping digits

(a)  

56.

______ ___ defects are characterized by hypoplasia or aplasia of the radius and thumb ; commonly seen with trisomies 13 and 18, VACTERL association

(a)  

57.

clubfoot or (a)   is a deformity of the foot and ankle ; has a male predominance

58.

deformity characterized by a prominent heel and a convex sole ; assoc. w/ multiple syndromes and chromosomal anomalies (tri 18)

(a)