Chapter·AnatomyEmbryology

Cleavage and blastocyst formationDownloads

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1

A 26-year-old woman comes to the emergency department because of a 3-day history of nausea and vomiting. Her last menstrual period was 9 weeks ago. A urine pregnancy test is positive. Ultrasonography shows an intrauterine pregnancy consistent in size with a 7-week gestation. The hormone that was measured in this patient's urine to detect the pregnancy is also directly responsible for which of the following processes?

ADevelopment of breast tissue

BPreparation of the uterine endometrium for implantation

CInhibition of preterm uterine contractions

DMaintenance of the corpus luteum

EInhibition of ovulation

2

A 2250-g (5.0-lb) male newborn and a 2900-g (6.4-lb) male newborn are delivered at 36 weeks' gestation to a 24-year-old, gravida 1, para 1 woman. The mother had no prenatal care. Examination of the smaller newborn shows low-set ears, retrognathia, and right-sided clubfoot. The hematocrit is 41% for the smaller newborn and 69% for the larger newborn. This pregnancy was most likely which of the following?

AMonochorionic-monoamniotic monozygotic

BConjoined twins

CDichorionic-diamniotic monozygotic

DMonochorionic-diamniotic monozygotic

EDichorionic-monoamniotic monozygotic

3

A 12-year-old boy follows up with his primary care physician for ongoing management of a urinary tract infection. He recently started middle school and has been having a difficult time navigating the school since he ambulates with leg braces and crutches. Consequently, he has not had sufficient time to use his urinary catheter appropriately. Otherwise, he has been unchanged from the previous visit with both sensory and motor defects in his lower extremities. He has had these defects since birth and has undergone surgeries to repair a bony defect in his spine with protrusion of a membrane through the defect. During what days of embryonic development did the defect responsible for this patient's symptoms most likely occur?

ADays 21-35

BDays 0-7

CDays 8-20

DDays 90-birth

EDays 36-90

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