MSK Flashcards

1
Q

what needs to be activated in order for limbs to form

A

activation of mesenchymal cells in the somatic layer of the mesoderm

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2
Q

what part of the mesoderm forms the limbs

A

paraxial mesoderm- this splits into little blocks- somites

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3
Q

when does the upper limb bud appear

A

day 24

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4
Q

when does the lower limb bud appear

A

1 to 2 days after the upper limb bud

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5
Q

what gene helps regulate the control of growth of limbs

A

HOX gene expression

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6
Q

how do limb buds elongate

A

through proliferation of the mesenchyme

endochondral ossification and intramembranous ossification

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7
Q

what is the apical ectodermal ridge

A

thickening of the ectoderm at the apex of each bud

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8
Q

how do the hands and feet develop

A

the distal end of the limb buds flattens into paddles and flippers
then form rays
occurs in a series of stages involving apoptosis

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9
Q

what is apoptosis of webbed spaces controlled by

A

bone morphogenetic proteins

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10
Q

when do primary ossification centres appear and work

A

8-12 weeks

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11
Q

how do the upper limbs rotate

A

laterally at 90 degrees

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12
Q

how do the lower limbs rotate

A

medially by 90 degrees

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13
Q

what is polydactly

A

presence of an extra digit on the hand or toes

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14
Q

what is syndactly

A

simple webbing between the ditches either cutaneous or oessues

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15
Q

does syndactly occur more frequently in the hand or the foot

A

the foot

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16
Q

when is the sensitive period for thalidomide

A

4-8 weeks