1What are the two most outer layers of the egg?
corona radiata and zona pellucida
3What happens on day 1 of fertilization?
The pronuclei of the male and female come together and chromosomes line up for mitosis
4What is cleavage?
Rapid cell division without cell growth
5What is the morula phase?
16-32 cell phase
6What is a blastomere?
Cells produced by cleavage after fertilization
7What is the blastocyst stage? When does it occur?
Ball of cells with a fluid filled cavity. Occurs between days 4-5.
8What are the two parts of a blastocyst and what do they form?
1. Embryoblast/inner cell mass. Forms the embryo proper.
2. Trophoblast/outer cell mass. Forms the fetal part of the placenta, called the chorion.
9Why does the zona pellucida degrade?
The zona pellucida degrades so that the blastocyst can "hatch". This allows for implantation because the blastocyst is "sticky".
10When does implantation occur?
Day 6 or 7
11Steps that occur in the first week
1. Released oocyte through ovulation
2. Fertilization in the Fallopian tube with 24 hours of ovulation
3. 2 cell stage at at day 2
4. 4 cell, 8 cell, and morula stage occurs days 3-4
5. Blastocyst stage hatched in day 5 in uterus
6. Implantation occurs on day 6
12What happens to oocytes that are not fertilized within 24 hours?
They die
13How long can sperm survive in the female reporductive tract? How long does it take for sperm to reach the ampulla of uterine tube?
Can survive for 6 days, takes 30 minutes to 6 days to reach the uterine tube
14How many sperm actually reach the uterine tube of millions?
200-500
15What is the normal site for implantation?
The posterior wall of the uterus
16How many pregnancies result in ectopic pregnancy and where are the majority of ectopic pregnancies?
1 in 100 pregnancies are ectopic, majority are Fallopian tube (95-98%)
17What are 4 common areas for ectopic pregnancy?
1. In the ovary
2. Uterine tube
3. Abdonimal messentrary cavity
4. Implantation low in the uterus, close to cervix
18What is in vitro fertilization (IVF)?
Developed in the 70s, used to assist people with reproductive issues
19How does in vitro fertilization work? (5 Steps)
1. Hormones used to get ovaries to release mature oocytes
2. Oocytes are aspirated from follicle
3. Oocytes are placed in Petri dish with sperm
4. Oocytes are grown to 8 cell stage (day 3) or blastocyst stage (day 5)
5. Embroys are transferred into uterus via catheter
20What are the two most outer layers of the egg?
corona radiata and zona pellucida
21What is assisted hatching? Who is this helpful for?
-Zona pellucida is weakened from laser or needle so blastocyst has an easier time hatching
-Helpful if zona pellucida is thickened (i.e. older women)
22How can genetic disorders be tested for preimplantation? Does this testing impact development?
-A cell is removed from the 6-8 cell zygote and the DNA is tested for chromosomal abnormalities
-The zygote compensates for the loss and continues to develop normally
23Why is week 2 called the week of 2s?
1. Embroyo gets two fluid filled cavities (the amniotic cavity and the yolk sack)
2. The inner cells of blastocyst flatten into a two layered disk (bilaminar disk or embryo). Has the epiblast and hypoblast.
3. The trophoblast invades uterus and becomes the cytotrophoblast and syncytiotrophoblast
24cytotrophoblast vs syncytiotrophoblast
Cytotrophoblast is interior to the syncytiotrophoblast and is responsible for cell growth
Syncytiotrophoblast has no clearly defined border and synthesizes hormones
25When is the earliest that you can test positive on a pregnancy test?
End of second week
26What is implantation bleeding? When does it occur? How many women experience?
-Occurs due to implantation of blastocyst
-Occurs near 28th day
-1/3rd of women experience
27What percentage of pregnancies result in spontaneous abortion? When does this often occur and why?
-50% of pregnancies result in spontaneous abortions
-Majority happen within the first 10 weeks and most are due to chromosomal abnormalities
28What is a teratogen? Are embryos impacted in the first two weeks?
-Any substance that disrupts development and causes birth defects
-Not often impacted, but if they are, it's all or nothing
29What does the syncytiotrophoblast do?
-Erodes uterine blood vessels and empties content into spaces called lacunae
-Oxygen and nutrients diffuse across the syncytiotrophoblast
30What is the chorionic cavity?
Forms after 12 days, just outside of the yolk stack and amnion
31When does primitive uteroplacental circulation begin?
Around day 13. Begins when the cytotrophoblast and syncytiotrophoblast for chorionic villi, which project into the luncane that are filled with maternal blood
32What is the maternal part of the placenta formed from?
Inner lining of the uterus/endometrium (decidua)
33What is the fetal part of the placenta formed from?
Trophoblast -> cytotrophoblast and syncytiotrophoblast -> chorion
34When can amniocentesis be used for karyotyping? When can chorionic villi sampling can be performed?
15-20 weeks for amniocentesis
10-13 weeks for chorionic villi sampling (no neural tube defects can be detected)
35What is the primitive streak?
It is the start of gastrulation. It creates a left-right and cranial-caudal division, midline axis, and ventral/dorsal (already set with disk stage).
36What is the notocord? How does it form?
It is a solid rod that runs down the midline of the embryo. It is formed from mesoderm cells.
37What are the three layers formed in gastrulation? When does this occur?
Ectoderm, Mesoderm, and Endoderm. Three layers formed during week 3.
38What is sacrococcygeal teratoma?
Most common tumor in newborns. Caused by the remnants of a primitive streak. It is a made up of tissues from all three germ layers.
39What is caudal dysgenesis?
It is caused by too little mesoderm in the caudal region due to problems during gastrulation. Leads to fusion of lower limbs to different extents. (i.e. Sirenomelia- mermaid syndrome is most severe form)
40What is Situs inversus?
Gastrulation establishes midline and right from left. This condition is where organs are in a mirror image arrangement due to problems during gastrulation.
41What happens by the end of week 3?
The embryo folds in several directions to form a C-shaped cylindrical tube.
42At what point in the embryonic period are all organ systems established?
Week 3-8
43What are the first two systems to develop?
The nervous system and cardiovascular system
44What is the most dangerous time to be exposed to teratogens and why?
Between weeks 3 and 8. Major structural abnormalities that can result because organs are developing.
45What do the three germ layers become?
Ectoderm (epidermis and NS), Mesoderm (middle stuff), and Endoderm (gut tube)
46What is the remnant of the notochord?
The nucleus pulposus
47In the third week, what happens to the ectoderm and what forms?
The ectoderm thickens, folds, and invaginates downward. Forms: neural tube and neural crest.
48What is the neural tube? When does it close?
It is a hollow tube that gives rise to the CNS. (brain, brain stem, spinal cord). Closes 26-28 days.
49What is the neural crest?
Ectoderm cells that fail to be incorporated into neural tube and become neurons whose cells bodies are in PNS (Schwann and Satellite cells)
50What type of developmental issues are caused when problems during neural crest formation, migration, and differentiation occur?
NS issues, head and neck issues (i.e. cleft lip and palate)
51What are somites?
Paired blocks of mesoderm
52When does cranial neuropore closure occur? Caudal?
Day 26, Day 28
53What are two common defects with neuropore closure, how is it indicated, and how can they be prevented?
Anencephaly and spina bifida, indicated by increased alpha fetoprotein levels, prevented by folic acid supplements
54When folding into the C-shape, what happens to the future heart, cloaca membrane, and connecting stock?
They begin to fold underneath embryo
55When folding into the C-shape, what happens to the endoderm and the yolk sac?
During the folding, the endoderm and a part of the yolk space become enclosed by embryo, forming gut tube that runs the length of the embryo
56When folding into the C-shape, what happens to the amniotic cavity?
Folding encloses the embryo in the amniotic cavity and creates the primary body cavity (coelom)
57What does the ectoderm become?
Epidermis, CNS, ganglia, and PNS, neural crest, head mesenchyme
58What does the mesoderm become?
Filler, CT, bone, cartilage, muscle, blood, blood vessels, heart, lymph, and most GU
59What does the endoderm become?
Gut tube, trachea, lung, tonsils, thyroid, parathyroid, lower GU
60How is the gut tube connected to the yolk sac?
Vitelline duct
61When does blood begin to circulate?
At the end of week 4 when the vessels in yolk sac, chorion, and connecting stalk are hooked up
62When does the heart begin to have electrical activity?
Week 4
63What is the embryonic period?
Weeks 3-8
64When is the fetal period?
Week 9-38
65How is clinical gestation different from fetal age?
Clinical gestation is calculated based on the last menstral period, so it is the fetal age plus two weeks
66When can an ultrasound screening for fetal structural abnormalities be performed?
18-20 weeks