Term 
        
        | __ are the basic structural and functional unit of the body |  
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        Definition 
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        Term 
        
        Cells can be divided into two major compartments:
  -The __, the part of the cell located outside of the nucleus, and  -The __, the largest organelle within the cell. |  
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        Definition 
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        Term 
        
        The cytoplasm -Contains __ and __ arranged in an aqueous gel called the __. -The __ (previous) consists of solutes including __ (Na+, K+, Ca2+) and organic molecules such as __, __, __, __, and __. -The cell controls the concentration of __ within the cytoplasmic compartment, which influences the rate of __ within the cell. |  
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        Definition 
        
        - organelles; inclusions; cytoplasmic matrix - cytoplasmic matrix; inorganic ions; metabolites; carbohydrates; lipids; proteins; RNAs - metabolites; metabolic activity |  
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        Term 
        
        the nucleus -Contains the genome and enzymes necessary for __ and __. |  
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        Definition 
        
        | - dna replication; rna transcription |  
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        Term 
        
        | All cells have the same basic set of -organelles which can be classified into two groups: __ and __ |  
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        Definition 
        
        | - membranous (membrane bound) organelles; nonmembranous organelles |  
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        Term 
        
        - Membranous (membrane bound) organelles that have plasma membranes separating their __ from the __  - Nonmembranous organelles that lack __. - The spaces enclosed by the organelle membranes make up the __ in which __, __ and other __ are segregated or concentrated |  
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        Definition 
        
        - internal environment; cytoplasm - plasma membranes - intracellular microcompartments; substrantes; products; substances |  
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        Term 
        
        -__ are structures or substances that are not surrounded by a __. -They can consist of crystals, pigment granules, lipids, glycogen, and other stored __. |  
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        Definition 
        
        - inclustions; plasma membrane - waste products |  
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        Term 
        
        -The plasma membrane is now actually classified as a __. -It is a __ barrier. -Maintains cell __. -Regulates __ interactions. -Carries out specific recognition functions via __ and __. -Establishes __ for specific molecules. -Transduces physical or chemical signals into __. |  
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        Definition 
        
        - membranous organelle - selectively permeable - structure - cell-cell - receptors; antigens - transport systems - intracellular events |  
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        Term 
        
        Plasma membrane -The current interpretation of the molecular organization of the plasma membrane is now referred to as the __. -The membrane consists primarily of __, __, and __. -The phospholipids form a __, with __ properties (it is both hydrophobic and hydrophilic). -The fatty acid chains of the __ face each other and create a __ domain. -The surfaces of the membrane are formed by the __ of the phospholipids and create a __ domain. |  
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        Definition 
        
        - modified fluid mosaic model - phospholipids, cholesterol, proteins - lipid bilayer; amphipathic - phospholipids; hydrophobic - polar heads; hydrophilic |  
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        Term 
        
        Plasma Membrane -__ account for approximately half of the total membrane mass in most membranes. -Most of the proteins embedded in the membrane span the lipid bilayer __; these proteins are the __ -__ are not embedded in the membrane and are associated with the membrane by strong __, mainly with __. |  
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        Definition 
        
        - proteins - completely; integral proteins - peripheral membrane proteins; ionic; integral proteins |  
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        Term 
        
        -Carbohydrates may be attached to the proteins on the extracellular surface of the membrane, forming __. -Carbohydrates can also be attached to the lipids, forming __. -These surface molecules make up a layer on the cell surface that is referred to as the cell coat or __. -__ and __ have specific functions in metabolism, cell recognition, cell association, and serve as receptor sites for hormone |  
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        Definition 
        
        - glycoproteins - glycolipids - glycocalyx - glycoproteins; glycolipids |  
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        Term 
        
        glycocalyx -The __ can be seen projecting from the microvilli of this absorptive cell from the intestine. -Glycoproteins here include digestive enzymes such as __ and __ |  
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        Definition 
        
        - glycoproteins - dipeptidases; disaccharidases |  
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        Term 
        
        -Microdomains of the plasma membrane known as __ control the movement and distribution of __ within the lipid bilayer. -Recent research has indicated that the distribution and movement of proteins within the lipid bilayer is not as random as was once believed. -Localized regions within the plasma membrane contain high concentrations of __ and __, called __. -The __ (previous) is __ and exhibits less __ than the surrounding membrane. -The diminished fluidity is due to the presence of __ and the presence of longer, highly __ |  
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        Definition 
        
        - lipid rafts; proteins -  - cholesterol; glycosphingolipids; lipid rafts - lipid raft; thicker; fluidity - cholesterol; saturated fatty acid chains |  
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        Term 
        
        -Lipid rafts contain various integral and peripheral proteins involved in __. -Each raft is equipped all of the elements necessary to receive and convey __. -These elements include receptors, coupling factors, effector enzymes, and substrates. -__ in lipid rafts occurs more rapidly and efficiently because of the close proximity of the __. |  
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        Definition 
        
        - cell signaling - specific signals - - signal transduction; interacting proteins |  
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        Term 
        
        -Integral membrane proteins can be visualized by a special technique known as __. -When tissue is prepared for electron microscopy, membranes typically split along the __ plane. -This exposes the two faces of the membrane, the __ and the __. -The __ is backed by the extracellular space, while the __ is backed by the cytoplasm  -Usually the P-face displays more __  than the E-face. |  
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        Definition 
        
        - freeze fracture - hydrophobic  - E-face; P-face - E-face; P-face - particles (i.e. proteins) |  
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        Term 
        
        -__ have important functions in cell metabolism, regulation, and integration. -There are __ broad categories of membrane proteins that have been defined. -The categories are not mutually exclusive, meaning that a structural membrane protein may simultaneously act a receptor, an enzyme, a pump, or any combination of these functions |  
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        Definition 
        
        -integral membrane proteins - six |  
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        Term 
        
        -__ – transport ions such as Na+ across the membrane as well as macromolecule precursors. -__ – allow the passage of small ions, molecules, and water across the membrane in both directions.  __ are a type of channel (more on that later). -___ – allow recognition and localized binding of ligands in processes such as hormonal stimulation, coated-vesicle endocytosis, and antibody reactions |  
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        Definition 
        
        - pumps - channels; gap junctions - receptor proteins |  
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        Term 
        
        -__ – anchor the intracellular cytoskeleton to the extracellular matrix.  Examples of these include the __ that link cytoplasmic actin to an extracellular matrix protein (fibronectin). -__ – include ATPases involved in ion pumping, ATPase synthase in the inner mitochondrial membrane, and digestive enzymes such as dipeptidases and disaccharidases. -__ – visualized by the freeze fracture method, especially where they form junctions with neighboring cells. |  
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        Definition 
        
        - linker proteins; integrins;  - enzymes - structural proteins |  
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        Term 
        
        -Substances that either enter or exit must pass through the __. -Some substances (__ and small, __) cross the membrane by __. -All other molecules require ___ to provide them with a passage. |  
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        Definition 
        
        - membrane - (fat soluble and small, uncharged molecules); simple diffusion - membrane transport proteins |  
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        Term 
        
        -__ – transfer small, water-soluble molecules.   -They are very __ and often transport only one type of __. -After binding to a molecule that will be transported, the carrier protein undergoes __ and releases the __ on the other side of the membrane. -Some carrier proteins such as the __ pump require energy for the active transport of substances against their concentration gradient. -Other carrier proteins, such as glucose carriers, do not require energy and participate in __ |  
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        Definition 
        
        - carrier proteins - selective; molecule - conformational changes; molecule - sodium postassium - passive transport |  
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        Term 
        
        -__ – also transfer small, water-soluble molecules.
  -Channel proteins create __ through the plasma membrane that regulate the __ of the molecule. -Channel protein transport can be regulated by membrane potentials (voltage-gated ion channels in neurons), __ (ligand-gated ion channels such as acetylcholine receptors in muscle cells), or __ (mechanically-gated ion channels in the inner ear). |  
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        Definition 
        
        - channel proteins - hydrophilic channels; transport - membrane potentials, neurotransmitters; mechanical stress |  
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        Term 
        
        -__ maintains the integrity of the plasma membrane and provides for the transfer of molecules between different cellular compartments. -This process involves __ in the plasma membrane at localized sites and the subsequent formation of __ or fusion of vesicles with the membrane. -Vesicular transport can be described in more specific terms __ and __ |  
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        Definition 
        
        - vesicular transport - configurational changes; vesicles;  - endocytosis; exocytosis |  
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        Term 
        
        | __ brings molecules and other substances into the cell that would otherwise be too large to pass through the membrane |  
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        Definition 
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        Term 
        
        -__ is essentially the reverse of endocytosis -A vesicle moves from the __ to the __ where it discharges its contents to the __ |  
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        Definition 
        
        - exocytosis - cytoplasm; plasma membrane; extracellular space |  
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        Term 
        
        receptor mediated endocytosis -When ligands bind to their receptors, the receptors become __ into __. -The coated pit __ and forms a __ that transports the __, into the cell. -The coated vesicles fuse with __, a system of vesicles and tubules located in the cytosol near the cell surface. -The __ in the endosomes allows for the separation of the __ and their receptors. -Ligands are typically sent to __, while their __ are returned to the __. |  
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        Definition 
        
        - aggregated; coated pits - invaginates; coated vesicle; ligand - endosomes - low pH; ligands - lysosomes; receptors; cell membrane |  
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        Term 
        
        - __:Small invaginations of the cell membrane form to trap extracellular fluid and any molecules contained in that fluid. -- sometimes referred to as __ - __: this literally means cell eating --Certain cells such as __ and polymorphonuclear leukocytes are specialized for engulfing and removing bacteria, protozoa, fungi, damaged cells and other cellular trash. |  
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        Definition 
        
        - pinocytosis -- cell drinking - phagocytosis -- macrophages |  
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        Term 
        
        - __:These organelles are sites of intracellular digestion and turnover of cellular components - __ (previous) are membrane bound vesicles that contain a variety of __ -The __ of lysosomes are resistant to the hydrolytic digestion that occurs inside the organelle - the most common enzymes are __, __, __, and __ -These enzymes are responsible for the degradation of macromolecules derived from __ pathways and __ (removal of organelles |  
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        Definition 
        
        - lysosomes - lysosomes; hydrolytic enzymes - membranes -proteases, nucleases, lipases, and phospholipases. - endocytotic ; autophagy |  
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        Term 
        
        Lysosomal function -Synthesized in the __; their enzymes are packaged in the __ -Contents of secondary lysosomes can be __ or can remain in the cell as __. - in some cells, __ can be excreted |  
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        Definition 
        
        - RER; golgi complex - excreted; residual bodies - lysosomal enzymes |  
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        Term 
        
        Lysosomal Storage Diseases - Lysosomal diseases are caused by __ - The result is an accumulation in cells of __ used in __ - there are __ lysosomal storage diseases |  
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        Definition 
        
        - defective lysosomal enzymes - specific substrates; lysosomal enzymatic reactions - 49 |  
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        Term 
        
        -Children born with lysosomal storage diseases usually appear __ at birth, then clinical signs of disease begin to appear -These children grow __, show changes in __, and develop bone and joint deformities leading to __. -They may loose already attained skills such as __ and __ - __ and __ may occur -These children are prone to __ infections, __ disease, and __ of internal organs, such as the liver and spleen (hepatosplenomegaly). |  
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        Definition 
        
        - normal - slower; facial features; restrictions of limb movements - speech; learning ability - behavioral problems; mental retardations - lung; heart; enlargement |  
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        Term 
        
        -____ is characterized by the deficiency of β-hexosaminidase, which results in the accumulation of gangliosides in the central nervous system. - the accumulation of __ interferes with the normal functioning of cells |  
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        Definition 
        
        - tay-sachs disease - gangliosides |  
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        Term 
        
        | -The most common lysosomal storage diseases  are __, __, and __ |  
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        Definition 
        
        | - gaucher disease; hunter syndrome; pompe disease |  
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        Term 
        
        -Gaucher disease – characterized by the defective activity of a __, which results in the accumulation of __ in the __, __, and __.
  -Gaucher disease is now treated with __. |  
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        Definition 
        
        - glucocerebrosidase;glucocerebrosides; spleen; liver; cns - enzyme replacement therapy |  
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        Term 
        
        -__ consist of two subunits that are composed of four types of rRNA and almost 80 different proteins. -The RNA of both subunits are synthesized in the __.  -Subunits leave the nucleus via __ -Ribosomes play an important role in translating __ in protein synthesis |  
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        Definition 
        
        -ribosomes - nucleus - nuclear pores - mRNA |  
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        Term 
        
        -Individual ribosomes are held together by a strand of __ to form __. -__ synthesized for use in the cytoplasm are synthesized on polyribosomes existing as isolated clusters in the cytoplasm. -Polyribosomes attached to membranes of the __ translate __ that code for proteins that are secreted or stored in the cell. |  
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        Definition 
        
        - mRNA; polyribosomes - proteins - ER; mRNAs |  
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        Term 
        
        - __:This is a membrane system that consists of interconnected sacs and channels that enclose a space called the __ -There are two types: 1.__ – cytosolic side is covered with polyribosomes 2.__ – lacks associated polyribosomes |  
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        Definition 
        
        - endoplasmic reticulum; cisterna - 1. rer 2. ser |  
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        Term 
        
        ser is involved in the following processes 1. 2. 3. 4. |  
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        Definition 
        
        1. steroid and lipid metabolism 2. glycogen metabolism 3. membrane formation and recycling 4. detoxification and conjugation of noxious substances |  
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        Term 
        
        | SER is specialized in __, where it is called the __; responsible for sequestering __. |  
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        Definition 
        
        | muscle; sarcoplasmic reticulum; calcium |  
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        Term 
        
        -The function of the __ is to complete posttranslational modifications, package and place an address on products synthesized by the cell. -It is composed of smooth membrane-limited __ that appear as flattened sacs. |  
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        Definition 
        
        - golgi apparatus (complex) - cisternae |  
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        Term 
        
        golgi apparatus -The cis or forming face receives several types of molecules produced in the __. -After processing, these molecules are released from the __ face in larger vesicles that constitute __, lysosomes or other cytoplasmic components |  
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        Definition 
        
        - RER - trans; secretory granules |  
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        Term 
        
        -__ is a rare inherited disorder characterized by poor physical growth and mental retardation. -It is caused by a deficiency of __, a phosphorylating enzyme, normally present in the Golgi Apparatus. -__ are not separated to form lysosomes and are secreted. -The __ of these patients are empty. -Cells show large __ granules that interfere with cellular metabolism. |  
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        Definition 
        
        - I-cell disease (inclusion cell disease) - phosphotransferase - nonphosphorylated proteins - lysosomes - inclusion |  
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        Term 
        
        -__:The organelle that transforms the chemical energy of metabolites in the cytoplasm into energy for the cell. -Around 50% is stored as high energy phosphate bonds in __. -The remaining 50% is dissipated as __ for body temperature maintenance. -This organelle has a __ membrane. -Mitochondria also have __ DNA. |  
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        Definition 
        
        - mitochondria - atp - heat - double - circular |  
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        Term 
        
        -Mitochondria contain the enzyme system that generates ATP via the __ and __. -__ is a large membrane-bound enzyme found in the inner mitochondrial membrane. |  
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        Definition 
        
        - citric acid cycle (krebs cycle); oxidative phosphorylation - ATP synthase |  
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        Term 
        
        -__ is found in the inner mitochondrial membrane. -This membrane has a series of infoldings called __. |  
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        Definition 
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        Term 
        
        -Mitochondria are transmitted by the __ -Both males and females can be affected by mitochondrial diseases, but __ can not transmit the disorder. -__ do not transmit mitochondria at fertilization. |  
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        Definition 
        
        - mother (maternal inheritance) - males - males |  
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        Term 
        
        mitochondrial diseases - MERRF: __ - this disease is characterized by generalized __, loss of __, and multiple ___ - the major complications are __ and __ because the __ and __ muscles are affected - histologically, __ appear ragged due to aggregations of abnormal __ |  
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        Definition 
        
        - myoclonic epilepsy with ragged red fibers - muscle weakness; coordination (ataxia); seizures - cardiac; respiratory failure; cardiac; respiratory - red muscle fibers; mitochondria |  
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        Term 
        
        There are three maternally inherited mitochondrial diseases that affect males more severely than females: 1. 2. 3. |  
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        Definition 
        
        1. Leber's hereditary optic neuropathy (LHON) 2. male infertility 3. pearson marrow-pancreas syndrome |  
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        Term 
        
        leber's hereditary optic neuropathy -__ of the affected individuals are male. -The disease is confined to the __. -Affected individuals suffer a sudden loss of vision in the __ of life |  
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        Definition 
        
        -85% - eye - second and third decades |  
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        Term 
        
        male infertility - almost all the energy for sperm motility is derived from __ |  
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        Definition 
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        Term 
        
        pearson marrow pancreas syndrome - __ and __ observed in childhood |  
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        Definition 
        
        | - anemia; mitochondrial myopathy |  
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        Term 
        
        - peroxisomes: __ shaped organelles. -Peroxisomes oxidize specific organic substances by removing __ ions and transferring them to oxygen.  This process produces __, an extremely toxic substance. -__, an enzyme that breaks down hydrogen peroxide, is contained within peroxisomes. -Peroxisomes also contain __ and __ involved in lipid metabolism |  
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        Definition 
        
        - spherically -hydrogen; hydrogen peroxide -catalase - d-amino acid oxidases ;beta oxidation enzymes |  
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        Term 
        
        -Peroxisomes in the liver perform a variety of __ processes. -Peroxisomes in liver cells (hepatocytes) are responsible for the detoxification of __ by converting it to __. -Peroxisomes are abundant in the __ and __ (they are found in other cells, too). -The number of peroxisomes can __ in response to diet, drugs, and hormonal stimulation. |  
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        Definition 
        
        - detoxification - alcohol; acetaldehyde - liver; kidney - increase |  
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        Term 
        
        | There are various disorders caused by the inability to import proteins into __ because of faulty targeting signals or receptors |  
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        Definition 
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        Term 
        
        -Zellweger syndrome is the most commonly inherited peroxisomal disease.
  -Zellweger syndrome is a rare, __ disease that is lethal within the __ of life. -The syndrome belongs to a group known as the __, that affect __ formation in the axons of the brain. -Zellweger syndrome is characterized by a reduction or absence of peroxisomes in __, and cells of the __ and __ |  
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        Definition 
        
        - zellweger syndrome - congenital; first year - leukodystrophies; myelin - hepatocytes; kindney; brain |  
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        Term 
        
        zellweger syndrome -Zellweger syndrome is caused by the mutation of the __, which encodes the receptor for the peroxisome targeting signal (it does not recognize the Ser-Lys-Leu at the carboxy-terminus of enzymes directed toward peroxisomes). -The clinical characteristics include __, high levels of __ and __ in the blood, and defective __. -Children may be unable to __ or __ or __ |  
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        Definition 
        
        - PXRI gene - hepatomegaly (liver enlargement), iron; copper; vision - move; suck; swallow |  
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        Term 
        
        -The __ is a complex network of microtubules, actin filaments (microfilaments) and intermediate filaments. --Helps maintain the __ of the cell, plays a role in the __ of organelles and vesicles and also participates in the movement of entire cells. -__ help move organelles. -__ functions include anchoring and movement of membrane protein, formation of the structural core of microvilli, cellular locomotion, extension of cell processes. -__ have a general support or structural role |  
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        Definition 
        
        -cytoskeleton -- shape; movement - microtubules - actin - intermediate filaments |  
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        Term 
        
        Kartagener's syndrome -Defects in the organization of __ and microtubule-associated proteins can immobilize __ of the respiratory epithelium. -Accumulated secretions and mucus cannot be cleared causing __ -Dysfunction of microtubules can cause problems with __ in men, which can cause infertility because the flagella are affected. -In women, __ in the uterine tubes can cause infertility. -In addition, __ of internal organs may be seen in individuals with Kartagener’s syndrome. -This side reversal is called __. |  
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        Definition 
        
        -microtubules; cilia - chronic respiratory infections - sperm motility - ciliary transport of the ovum - side reversal  - situs inversus |  
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        Term 
        
        - __:Membrane-limited compartment that contains the genome -- components include: __, __, __, and __ |  
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        Definition 
        
        - nucleus -- chromatin; nucleolus; nuclear envelope; nucleoplasm |  
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        Term 
        
        -Chromatin: Complex of __ and __ -In non-dividing cells, the chromatin is in various degrees of __ or __ - the degree of condensation results in two kinds of chromatin observed by light and electron microscopy, these are __ and __ |  
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        Definition 
        
        - dna; proteins - coiling; condensation - heterochromatin; euchromatin |  
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        Term 
        
        - heterochromatin --is the __ form -- on EM looks like ___ -- on LM looks like __  - euchromatin -- is the __ form -- on EM looks like __ -- on LM looks like __ |  
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        Definition 
        
        - -- more condensed form -- coarse electron dense granules -- basophilic clumps - -- less condensed -- finely dispersed granular material -- lightly stained basophilic areas |  
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        Term 
        
        chromatin structure - __ is the basic structural unit -- 2 loops of __ wrapped around a core of __ with a linking __ -- beads on a string - __ chromatin fibril -- __ coiled around an axis -- __ per turn |  
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        Definition 
        
        - nucleosome -- dna; 8 histone proteins; 2nm filament of dna - 30 nm -- nucleosomes -- six nucleosomes |  
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        Term 
        
        chromosomes: human cells - humans have __ chromosomes, arranged in __ homologous pairs. -- the pairs can be divided into __ pairs of autosomes and __ pairs of sex chromosomes - 46 chromosomes is the __ number - dna content of the __ chromosomes |  
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        Definition 
        
        - 46; 23 -- 22; 1 - diploid (2n) - diploid (2d) |  
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        Term 
        
        -Chromosomal structure can be studied by examining stained __ - ___: Chromosomes sorted by size, shape, and staining pattern --Can reveal __ in chromosome number or structure |  
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        Definition 
        
        - metaphase chromosomes - karyotype -- alterations |  
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        Term 
        
        - sex chromatin: Also called __ -__ mass observed in __ cells but not __ cells --Represents a tightly coiled __ --Visible as a small granule attached to the __ of __ cells (esp. buccal smears) and as a “drumstick” appendage to the nucleus of __ |  
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        Definition 
        
        - barr body -heterochromatin; female; male -- X chromosome -- nuclear envelope; epithelial; neutrophilic leukocytes |  
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        Term 
        
        -nucleolus: Site of __ and initial __ -Non-membranous region that surrounds transcriptionally active __ genes -Nucleoli vary in __ -More than __ may be present in a cell |  
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        Definition 
        
        - ribosomal RNA synthesis; ribosome assembly - rRNA - size - 1 |  
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        Term 
        
        | - there are 3 morphologically distinct regions in the nucleolus: __, __, and __ |  
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        Definition 
        
        | - Fibrillar centers; fibrillar material; granular material |  
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        Term 
        
        -Fibrillar centers: Contain __ loops of chromosomes containing __ genes -Fibrillar material: __ genes being actively __, Large amounts of __ -Granular material: Densely packed __ particles |  
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        Definition 
        
        - dna; rRNA - rRNA; transcribed; rRNA - preribosomal |  
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        Term 
        
        -__:Separates the nuclear compartment from the cytoplasm -Formed by 2 membranes with a __ between them --Cisternal space is continuous with the cisternal space of the __ --Envelope is perforated by __ |  
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        Definition 
        
        - nuclear envelope - perinuclear cisternal space -- rer -- nuclear pores |  
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        Term 
        
        -Outer nuclear membrane --Resembles and is continuous with __ membrane --May have __ on cytoplasmic surface -Inner nuclear membrane --Supported by the __ --Contains receptors that bind the __ and __ |  
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        Definition 
        
        - -- rer -- ribosomes - -- nuclear lamina -- lamina; chromosomes |  
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        Term 
        
        - nuclear lamina: Network of __ having a __ function --Serves as a __ for chromatin, chromatin-associated proteins, nuclear pores, and membranes of the nuclear envelope |  
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        Definition 
        
        - protein filaments; supporting - scaffolding |  
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        Term 
        
        - nuclear pores: 70-80 nm openings formed by the merging of the __ and __ -Each pore contains a __ complex consisting of __ that mediate transport in and out of the nucleus --Large proteins and macromolecular complexes are transported by a __ --Small molecules may cross water-filled channels by __ --Small __ may also be selectively transported |  
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        Definition 
        
        - inner; outer nuclear membranes - nuclear pore; proteins -- GTP dependent mechanism -- diffusion -- proteins |  
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        Term 
        
        - __: Material enclosed by the nuclear envelope exclusive of the chromatin and nucleolus -- includes __, __, and __ |  
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        Definition 
        
        nucleoplasm -- nucleoskeleton, nuclear lamina, and rna transcription and processing machinery |  
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        Term 
        
        - __: Self-regulated sequence of events that controls cell growth and cell division -- two principal phases include __ and __ -- __: partitioning of the genome -- __: represents growth of the cell |  
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        Definition 
        
        - cell cycle -- interphase and M phase (mitosis) -- m phase (mitosis) -- interphase |  
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         | 
        
        
        Term 
        
        - interphase is further divided into 3 phases: __, __, and __ -- checkpoints control progression through the cell cycle |  
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        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        - G1 -- gathers __ -- synthesis of __ and __ -- cell __ restored |  
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        Definition 
        
        -- nutrients -- RNA; proteins -- volume |  
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         | 
        
        
        Term 
        
        -G1 Checkpoints --__: Most important checkpoint (point of no return) --Mediated by __ and __ -G1 DNA damage checkpoint --Tumor suppressing protein __ mediates --High p53 __ cell cycle -Cell may leave the cell cycle and enter __ or undergo programmed cell __ |  
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        Definition 
        
        - restriction point - retinoblastoma susceptibility protein (pRB); essential transcription factors (E2F) -- p53 -- arrests - G0; death |  
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         | 
        
        
        Term 
        
        -S -- __ is replicated -- __ checkpoint |  
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        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        G2 cell cycle -Accumulation of __ -__ synthesis -Synthesis of chromosomal __ -G2 DNA damage __ -__ DNA checkpoint |  
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        Definition 
        
        - energy - tubulin - nonhistone proteins - checkpoint - unreplicated |  
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         | 
        
        
        Term 
        
        M (mitosis) - includes __ and __ - __ assembly checkpoint - __ segregation checkpoint |  
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        Definition 
        
        - karyokinesis; cytokinesis - spindle assembly - chromosome |  
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         | 
        
        
        Term 
        
        -Failure of cell cycle checkpoints to function properly may lead to __ cell development -Mitotic catastrophe (abnormal chromosome segregation) may lead to __ -Restriction point failure may lead to __ inhibition |  
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        Definition 
        
        - tumor -- aneuploid cells -- loss of contact |  
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         | 
        
        
        Term 
        
        -Passage through the cell cycle is driven by __ that are cyclically synthesized and degraded -Two-protein complexes consisting of a __ and a __ power cells through checkpoints of the cell cycle |  
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        Definition 
        
        - proteins - cyclin; cyclin dependent kinase |  
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         | 
        
        
        Term 
        
        - __:Process of nuclear and cellular division where a parent cell produces two daughter cells with sets of chromosomes identical to that of the parent cell -- what are the 4 phases of mitosis |  
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        Definition 
        
        -mitosis -- prophase, metaphase, anaphase, telephase |  
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         | 
        
        
        Term 
        
        Prophase -Chromosomes condense and become visible --Sister chromatids are held together by __ and the __ -__ migrate to opposite poles -__ disappears -__ forms -A __ forms on each chromatid -__ disassembles |  
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        Definition 
        
        - chromosomes -- cohesions; centromere - centrosomes - nucleolus - mitotic spindle - kinetochore - nuclear envelope |  
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        Term 
        
        -Metaphase --Chromosomes migrate to the __ --__ spindle organizes around the __-organizing centers --__ attach at the kinetochores -Anaphase --__ separate and are pulled toward __ of the cell |  
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        Definition 
        
        -- equatorial plane -- mitotic spindle; microtubule -- microtubules - -- sister chromatids; opposite poles |  
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         | 
        
        
        Term 
        
        Telophase -__ is reconstituted around the chromosomes at each pole -__ uncoil -__ reappears -Cytokinesis --Ring of __ and __ filaments around the perimeter of the cell contracts and pinches the cell into 2 daughter cells |  
          | 
        
        
        Definition 
        
        - nuclear envelope - chromosomes - nucleolus - actin; myosin II |  
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         | 
        
        
        Term 
        
        -__:Two sequential cell divisions that produce gametes containing half the number of chromosomes and half the DNA found in somatic cells - resulting cells are genetically __ -- segregation of __ and __ chromosomes -- __ achieves genetic recombination |  
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        Definition 
        
        - meiosis - unique -- paternal; maternal -- crossing over |  
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         | 
        
        
        Term 
        
        -Phases of meiosis are similar to the phases of __ -No __ between the successive divisions -Progression of chromosome number and DNA content --2n, 4d at start of meiosis after an S phase --1n, 2d after meiosis I --1n, 1d after meiosis II |  
          | 
        
        
        Definition 
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         | 
        
        
        Term 
        
        meiosis: prophase I - __ phase of 5 stages - events include __, __, and __ --__: Chromatin condensation and pairing of homologous chromosomes --__: Synapsis, formation of the synaptonemal complex --__: Crossing-over |  
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        Definition 
        
        - extended - pairing; synapsis; recombination -- leptotene -- zygotene -- pachytene |  
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         | 
        
        
        Term 
        
        - Diplotene -- __ dissolves -- __ condense further -- __ appear - diakinesis -- __ condensation -- __ disappears -- __ disintegrates |  
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        Definition 
        
        --synaptonemal complex -- chromosomes -- chiasmata - -- maximum chromosome -- nucleolus -- nuclear envelope |  
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         | 
        
        
        Term 
        
        -Metaphase I --Paired chromosomes align at __ --__ breakdown -Anaphase I --__ does not split, sister chromatids stay together Members of each homologous pair moves to __ --- also called ___ |  
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        Definition 
        
        -- equatorial plate -- chiasmata - -- centromeres -- opposite poles --- random assortment |  
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         | 
        
        
        Term 
        
        Telophase I - __ reforms - __ divides - produces daughter cells that are __,__ |  
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        Definition 
        
        - nuclear envelope - cytoplasm - 1n, 2d |  
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         | 
        
        
        Term 
        
        Meiosis II -After meiosis I, cells __ enter meiosis II -Essentially a __ -A 1n, 2d cell becomes two __, __ daughter cells -Unlike mitosis, the daughter cells are not __ |  
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        Definition 
        
        - quickly - mitosis - 1n, 1d - genetically identical |  
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         | 
        
        
        Term 
        
        -__ may result from accidental cell injury or mechanisms that causes cell to self-destruct -Necrosis --__ cell death --__ process --Unfavorable physical or chemical environment ---Acute cellular injury and damage to the plasma membrane ---Rapid cell __ and __ are characteristic |  
          | 
        
        
        Definition 
        
        - cell death - -- accidental -- pathological --- --- swelling; lysis |  
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        Term 
        
        -Apoptosis (programmed cell death) --Physiologic process --Cells that are no longer needed are __ --Cells initiated an internally encoded program for apoptosis --A variety of __ or __ signals can initiate apoptosis --Process is very __ |  
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        Definition 
        
        - -- --eliminated -- -- extrinsic; intrinsic -- rapid |  
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        Term 
        
        apoptosis:Characteristic morphologic and biochemical features -DNA fragmentation --__ event --__ aggregates, __ may fragment -Decrease in cell volume --__ reorganizes --__ clump, __ forms whorls, __ vesicles fuse with plasma membrane |  
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        Definition 
        
        - -- irreversible -- chromatin; nucleus - -- cytoskeleton -- ribosomes; rer; endocytotic |  
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         | 
        
        
        Term 
        
        apoptosis -Loss of mitochondrial function --Change in membrane permeability --___ disrupted --__ is released into the cytoplasm ---Activate __ ---___ dismantle the cell -Membrane blebbing --___ alterations --Leads to __ without loss of integrity ---Cell contents remain contained |  
          | 
        
        
        Definition 
        
        --permeability -- etc -- cytochrome c --- caspases --- caspases -- plasma membrane -- blebbing |  
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         | 
        
        
        Term 
        
        formation of apoptotic bodies - cell breaks into __ - rapidly removed by __ cells -- no __ response is elicited |  
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        Definition 
        
        - membrane bound vesicles - phagocytic cells -- inflammatory |  
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         | 
        
        
        Term 
        
        gemetogenesis: Conversion of germ cells into __ and __ -Primordial germ cells are formed in the __ during the __ and move to the wall of the __ -During the __, they migrate from the __ to the developing __ where they arrive by the end of the __ - __ increase their numbers during migration and in the gonad - Germ cells undergo __ in preparation for __ --__ to reduce chromosome number --__ to complete maturation |  
          | 
        
        
        Definition 
        
        male; female gametes - epiblast;second week; yolk sac - fourth week; yolk sac; gonads; fifth week - mitotic divisions - gametogenesis; fertilization -- meiosis -- cytodifferentiation |  
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         | 
        
        
        Term 
        
        Gametogenesis - __:Nuclear events, while different in timing, are similar in male and female gamete formation -__:Cytoplasmic events are quite different --Females produce __ --Males produce __ |  
          | 
        
        
        Definition 
        
        - meiosis - cytodifferentiation -- mature oocytes -- spermatozoa |  
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         | 
        
        
        Term 
        
        oogenesis -Primordial germ cells differentiate into __ -Oogonia undergo __ --By the end of the __, oogonia are arranged in clusters surrounded by a layer of __ derived from the __ |  
          | 
        
        
        Definition 
        
        - oogonia - mitotic divisions -- third month; flat epithelium cells; surface epithelium of the ovary |  
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         | 
        
        
        Term 
        
        oogenesis -Oogonia continue to divide by __ --Some enter __ and arrest in __ becoming __ --In the __ the number of germ cells in the ovary reaches __ --At this time __ begins, many __ and __ are lost --By the __, most __ are gone |  
          | 
        
        
        Definition 
        
        - mitosis -- meiosis; prophase I; primary oocytes -- fifth month; its maximum (about 7 mil) - atresia; oogonia; primary oocytes - seventh month; oogonia |  
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         | 
        
        
        Term 
        
        oogenesis -The surviving __ (in __) are now individually surrounded by a layer of __ --These structures are the __ --__ remain arrested in the __ stage of prophase I and do not complete meiosis I until after __ is reached --Numbers of primary oocytes ---__ to __ at birth ---__ at beginning of puberty ---Fewer than __ will reach ovulation as secondary oocytes |  
          | 
        
        
        Definition 
        
        - primary oocytes; (prophase I); flat epithelial cells -- primordial follicles -- primary oocytes; diplotene; puberty ---600,000-800,000 --- 400,000 --- 500 |  
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         | 
        
        
        Term 
        
        oogenesis - follicular growth and maturation -- at puberty a pool of __ is established ---Each month __ begin to grow ---The epithelial cells change from __ to __ and begin to proliferate producing a __ (__) ---The growing follicles are now called __ |  
          | 
        
        
        Definition 
        
        - -- growing follicles ---15-20 primordial follicles --- flat; cuboidal; stratified epithelium (granulosa cells) --- primary follicles |  
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         | 
        
        
        Term 
        
        oogenesis -Primary follicles --The cells of the __ surrounding the growing follicle organize into the __ --The __ cells and the __ secrete a glycoprotein layer around the oocyte called the __ ---__ from the granulosa cells and oocyte extend across the __ to transport materials to the __ |  
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        Definition 
        
        -- ovarian stroma; theca folliculli -- granulosa; oocyte; zona pellucida --- cytoplasmic projections; zona pellucida; oocyte |  
          | 
        
        
         | 
        
        
        Term 
        
        oogenesis Secondary follicle -As the follicle grows fluid filled spaces develop between the __ --These spaces coalesce into a singe space called the __ -The oocyte is found on the edge of __ surrounded by __, the __ |  
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        Definition 
        
        - granulosa cells -- antrum - antrum; granulosa cells (granulosa cells = follicular cells); cumulus oophorus |  
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         | 
        
        
        Term 
        
        oogenesis - mature follicle -- only __ reaches maturity each ovarian cycle ---The other maturing follicles undergo __ --Mature follicles are often __ or more in diameter |  
          | 
        
        
        Definition 
        
        - -- one follicle --- atresia -- 25mm |  
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         | 
        
        
        Term 
        
        oogenesis -A surge of __ induces the __ of the __ to complete __ --The __ is unequally divided between the daughter cells producing one __ with most of the cytoplasm and the first __ with little cytoplasm --The polar body lies between the __ and the __ in the __ -After meiosis I, the __ enters meiosis II but arrests during __ about __ prior to ovulation --Meiosis II will complete only if the __ is __ --Without __ the oocyte degenerates about 24 hours after ovulation |  
          | 
        
        
        Definition 
        
        - luteinizing hormone (LH); oocyte; mature follicle; meiosis I -- cytoplasm; secondary oocyte; polar body -- secondary oocyte; zona pellucida; perivitelline space - secondary oocyte; metaphase; 3 hours -- oocyte; fertilized -- fertilization |  
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         | 
        
        
        Term 
        
        spermatogenesis -At birth, primordial germ cells and supporting cells are present in the __ of the __ --Supporting cells, derived from the __ of the __, will develop into __, or __ -Shortly before puberty --The sex cords acquire a __ and become the __ --Primordial stem cells give rise to __ |  
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        Definition 
        
        - sex cords; testis -- surface epithelium; testis; sustentacular cells; sertoli cells - -- lumen; seminiferous tubules -- spermatogonial stem cells |  
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         | 
        
        
        Term 
        
        spermatogenesis -At regular intervals, cells emerge from the spermatogonial cell population to form __ --This marks the beginning of __ -__ undergo a limited number of mitotic divisions --The last division produces __ -__ then divide to form __ |  
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        Definition 
        
        - type A spermatogonia -- spermatogenesis - type A spermatogonia -- type B spermatogonia - type B spermatogonia; primary spermatocytes |  
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         | 
        
        
        Term 
        
        spermatogenesis -Primary spermatocytes enter a __ followed by rapid completion of __ producing __ -__ then undergo meiosis II producing __ |  
          | 
        
        
        Definition 
        
        - prolonged prophase (22 days); meiosis I; secondary spermatocytes - secondary spermatocytes; spermatids |  
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         | 
        
        
        Term 
        
        spermatogenesis:Spermiogenesis -Transformation of __ into __ --Formation of the __ --Condensation of the __ --Formation of the __ and __ --Shedding of __ |  
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        Definition 
        
        - spermatids; spermatozoa -- acrosome -- nucleus -- tail; related structures -- cytoplasm |  
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        Term 
        
        spermatogenesis -__ and __ remain embedded in recesses of __ throughout their development --__ support and protect the germ cells -Spermatogenesis is regulated by __ production --All progeny of a single __ remain connected by cytoplasmic bridges |  
          | 
        
        
        Definition 
        
        - spermatogonia; spermatids; sertoli cells -- sertoli cells - luteinizing hormone  - type A spermatogonium |  
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        Term 
        
        -Half of all spontaneous abortions have a major __, which include: --45, X --Triploidy --Trisomy 16 -Chromosomal abnormalities account for __ of major birth defects |  
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        Definition 
        
        - chromosomal defect -- 45, X -- Triploidy -- Trisomy 16 - 7% |  
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        Term 
        
        - __: extra or missing chromosome -- arise from __ during cell division ---__ gives rise to abnormal gametes ---__ gives rise to mosaicism |  
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        Definition 
        
        - numerical -- nondisjunction of chromosomes --- meiosis --- mitosis |  
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         | 
        
        
        Term 
        
        -Clinical syndromes --Down syndrome:  __ --Trisomy 18 --Trisomy 13 --__ ---Usually nondisjunction of the XX homologues --___ ---80% due to nondisjunction in the male gamete Triple X syndrome |  
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        Definition 
        
        -- trisomy 21 -- klinefelter syndrome: XXY -- Turner syndrome: 45, X |  
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         | 
        
        
        Term 
        
        -Translocations:  pieces of one chromosome attach to another --__:  no critical material lost ---Normal phenotype --__:  part of chromosome is lost ---Abnormal phenotype --Gene level problems without loss of material can also arise from translocations |  
          | 
        
        
        Definition 
        
        - translocations -- balanced -- unbalanced |  
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         | 
        
        
        Term 
        
        -__:  loss of part of a chromosome --__ syndrome:  partial deletion of 5p -__:  span only a few contiguous genes --__:  deletion of 15q11-15q13 -Fragile sites --Fragile X syndrome:  Xq27 |  
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        Definition 
        
        - deletions -- cri-du-chat syndrome - microdeletions -- angelman syndrome/prader-willi syndrome |  
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         | 
        
        
        Term 
        
        down syndrome: trisomy 21 -95% caused by __ --75% in __ ---Increasing risk with __ 1:2000 if <25 1:300 at age 30 1:100 at age 40 -4% __ --Chromosome 13,14, or 15 -1% __ due to mitotic nondisjunction |  
          | 
        
        
        Definition 
        
        - meiotic nondisjunction -- oocyte --- maternal age - unbalanced translocation - mosaicism |  
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         | 
        
        
        Term 
        
        Ovulation -As the __ undergoes the final steps of maturation, a bulge appears on the surface of the ovary --An __ appears at the apex called the __ -- high __ results in increased collagenase activity digesting the __ around the follicle |  
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        Definition 
        
        - follicle -- avascular spot; stigma -- LH concentration; fibers |  
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         | 
        
        
        Term 
        
        -The oocyte and granulosa cells of the __ break free from the __ and are extruded from the ovary --The granulosa cells arrange into the __ -Corpus luteum --The __ cells remaining in the ruptured follicle wall and the __ cells change into __ cells --The area is vascularized forming the __ --Secretes __ which acts on the __ in preparation for implantation |  
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        Definition 
        
        - cumulus oophorus; follicle wall -- corona radiata - -- granulosa; theca interna; lutean -- corpus luteum -- progesterone; uterine mucosa |  
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         | 
        
        
        Term 
        
        oocyte transport -At ovulation the fimbriae of the __ move over the surface of the __ -Sweeping motions of the __ and __ movement of the tube lining carry the __ into the tube --The __ cells withdraw their processes from the __ --A fertilized oocyte takes __ to reach the uterine cavity |  
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        Definition 
        
        - uterine tube; ovary - fimbriae; ciliary; oocyte -- granulosa; zona pellucida -- 3-4 days |  
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         | 
        
        
        Term 
        
        fertilization -Fertilization normally occurs in the __ of the __ -Spermatozoa reach the __ primarily by their own __ --Spermatozoa may survive in the female reproductive tract for __ --1% of spermatozoa deposited in the vagina enter the __ --It takes 2-7 hours to migrate from the __ to the __ --Upon reaching the __ of the tube the spermatozoa become less __ and stop their __ |  
          | 
        
        
        Definition 
        
        - ampulla; uterine tube - ampulla; propulsion -- several days -- cervix -- cervix; uterine tube -- isthmus of the tube; motile; migration |  
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         | 
        
        
        Term 
        
        fertilization -At ovulation, the __ become motile again and swim to the __ -Spermatozoa must undergo __ before becoming capable of fertilization --__ in the female reproductive tract --Mostly occurs in the __ --Lasts about __ --A __ coat and __ are removed from the plasma membrane overlying the __ |  
          | 
        
        
        Definition 
        
        - spermatozoa; ampulla - capacitation -- conditioning -- uterine tube -- 7 hrs -- glycoprotein; seminal plasma proteins; acrosome |  
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         | 
        
        
        Term 
        
        three phases of fertilization 1. 2. 3. |  
          | 
        
        
        Definition 
        
        1. penetration of the corona radiata 2. penetration of the zona pellucida 3. fusion of the oocyte and spermatozoon membranes |  
          | 
        
        
         | 
        
        
        Term 
        
        phase 1: penetration of the corona radiata --Only __ reach the site of fertilization --Only one will fertilize the __ --__ easily penetrate the __ |  
          | 
        
        
        Definition 
        
        - -- 300-500 spermatozoa -- oocyte -- capacitated spermatozoa; corona radiata |  
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         | 
        
        
        Term 
        
        Phase 2:  Penetration of the Zona Pellucida -__ bind to __ of the zona pellucida -The acrosomal reaction culminates with the release of ___ to penetrate the __ of the zona pellucida -When the spermatozoon contacts the __, the oocyte releases enzymes from __ that alter the __ and __ to prevent further penetration of the oocyte or binding to the zona pellucida |  
          | 
        
        
        Definition 
        
        - spermatozoa; ligand proteins - acrosomal enzymes; glycoprotein shell - oocyte plasma membrane; cortical graules; plasma membrane; zona pellucida |  
          | 
        
        
         | 
        
        
        Term 
        
        -Phase 3:  Fusion of the __ and __ membranes --After adhesion to the surface of __ by the __, the membranes of each fuse --The __ and __ of the spermatozoon enters the __ of the oocyte |  
          | 
        
        
        Definition 
        
        -Phase 3:  Fusion of the oocyte and spermatozoon membranes --After adhesion to the surface of oocyte by the spermatozoon, the membranes of each fuse --The head and tail of the spermatozoon enters the cytoplasm of the oocyte |  
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         | 
        
        
        Term 
        
        -The entry of the spermatozoon triggers: --__ and __ reactions --Resumption of the __ ---Produces the definitive __ and the __ ---The chromosomes arrange into the female ___ --Metabolic activation of the oocyte ---Initial cellular and molecular events of __ |  
          | 
        
        
        Definition 
        
        -The entry of the spermatozoon triggers --Cortical and zonal reactions --Resumption of the second meiotic division ---Produces the definitive oocyte and the second polar body ---The chromosomes arrange into the female pronucleus --Metabolic activation of the oocyte ---Initial cellular and molecular events of embryogenesis -- oocyte --- embryogenesis |  
          | 
        
        
         | 
        
        
        Term 
        
        fertilization -The __ moves close to the female __ --Its nucleus swells forming the __ --The __ detaches and degenerates -Each __ replicates its DNA -After DNA replication the chromosomes of both __ organize on a spindle in preparation for a __ --Each of the two resulting cells of the zygote have a __ chromosome number and DNA content |  
          | 
        
        
        Definition 
        
        -The spermatozoon moves close to the female pronucleus --Its nucleus swells forming the male pronucleus --The tail detaches and degenerates -Each pronucleus replicates its DNA -After DNA replication the chromosomes of both pronuclei organize on a spindle in preparation for a mitotic division --Each of the two resulting cells of the zygote have a diploid chromosome number and DNA content |  
          | 
        
        
         | 
        
        
        Term 
        
        The main results of fertilization: -Restoration of the __ number of chromosomes --Half from the mother; half from the father -Determination of __ --__ carrying spermatozoon produces female embryo --__ carrying spermatozoon produces male embryo -Initiation of __ |  
          | 
        
        
        Definition 
        
        The main results of fertilization -Restoration of the diploid number of chromosomes --Half from the mother; half from the father -Determination of sex --X carrying spermatozoon produces female embryo --Y carrying spermatozoon produces male embryo -Initiation of cleavage (cell division) |  
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         | 
        
        
        Term 
        
        Cleavage -After reaching the two-cell stage, the zygote undergoes a series of __ --Cells become __ with each cleavage division --Cells are called __ --Loose cluster of cells through the __ |  
          | 
        
        
        Definition 
        
        - mitotic divisions -- smaller -- blastomeres -- 8-cell stage |  
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         | 
        
        
        Term 
        
        cleavage -At the 8-cell stage the cells undergo __ --Blastomeres maximize contact with each other forming __ --Separates inner cells, which communicate extensively by __, from outer cells -About 3 days after fertilization, the compacted cells divide again forming the __ --Inner cells form the __ ---Gives rise to the tissues of the __ --Surrounding cells form the __ ---Forms the __ |  
          | 
        
        
        Definition 
        
        - compaction -- tight junctions -- gap junctions - 16 cell morulla -- inner cell mass --- embryo proper -- outer cell mass --- trophoblast |  
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         | 
        
        
        Term 
        
        -About the time the __ enters the uterine cavity, fluid begins to penetrate the __ and enter the intercellular spaces of the inner cell mass --The spaces become confluent forming a single cavity, the __ |  
          | 
        
        
        Definition 
        
        - morula; zona pellucida -- blastocele |  
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         | 
        
        
        Term 
        
        -With formation of the blastocele, the embryo is now called a __ --Inner cell mass now called the __ is at one pole --Outer cell mass, or __, forms the wall of the __ --The __ has disappeared ---Allows __ to begin |  
          | 
        
        
        Definition 
        
        - blastocyst -- embryoblast -- trophoblast; blastocyst -- zona pellucida --- implantation |  
          | 
        
        
         | 
        
        
        Term 
        
        implantation -__ cells over the embryoblast pole begin to penetrate the uterine epithelial lining cells on about the __ --The embryo is captured on the mucosa by __ on the trophoblastic cells --__ expressed by the trophoblast interact with laminin and fibronectin extracellular matrix molecules promoting __ and __ |  
          | 
        
        
        Definition 
        
        - trophoblastic; 6th day -- selectins -- integrins; attachment; invasion |  
          | 
        
        
         | 
        
        
        Term 
        
        Recall:  -The inner cells of the __ form the inner cell mass.  The inner cell mass undergoes a name change and becomes the __. -The outer cell mass forms the __, which contributes to __. -Note:  Sometimes the terms embryo and __ are used interchangeably. |  
          | 
        
        
        Definition 
        
        - morula; embryoblast - trophoblast; placenta formation - blastocyst |  
          | 
        
        
         | 
        
        
        Term 
        
        -The second week is often referred to as the “__.” -The trophoblast differentiates into the __ and the __. -The embryoblast differentiates into the __ and the __. -The extraembryonic mesoderm splits into two layers:  the __ and __. -Two cavities form:  the __ cavity and the __ cavity. -Note:  Embryos of the same fertilization age do not necessarily __ at the same rate. |  
          | 
        
        
        Definition 
        
        - week of twos - cytotrophoblast; synctiotrophoblast - epiblast; hypoblast - splanchnopleure; somatopleure - amniotic; yolk sac - develop |  
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         | 
        
        
        Term 
        
        DAY 8 -The __ becomes partially embedded in the __. -There are two layers of the trophoblast: 1.__ – has an __ cellular layer composed of mononuclear cells (cells containing only one nucleus). 2. __ – the __ cellular layer with multinucleate cells (cells with multiple nuclei); there are no distinct cellular boundaries |  
          | 
        
        
        Definition 
        
        - trophoblast; endometrium - 1. cytotrophoblast; inner 2. syncytiotrophoblast; outer |  
          | 
        
        
         | 
        
        
        Term 
        
        DAY 8 - __ occurs in the cytotrophoblast, which acts as a __. -Cells from the cytotrophoblast migrate into the __ and fuse together, forming the __ seen in the syncytiotrophoblast. -The embryoblast/inner cell mass differentiates into two layers: 1.__ – a layer of __ cells near the blastocyst cavity. 2.__ – a layer of __ cells near the amniotic cavity. -Both of these germ layers form a flat disc known as the __. |  
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        Definition 
        
        - mitosis; cellular reservoir - syncytiotrophoblast; multinucleate 1. hypoblast; cuboidal 2. epiblast; high columnar - bilaminar germ disc |  
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        Term 
        
        Day 8 -The __ begins as a small cavity in the epiblast. -__ are epiblast cells that are adjacent to the cytotrophoblast. -__ line the amniotic cavity. -The __ adjacent to the implantation site is edematous and highly __. -The large, tortuous glands secrete lots of __ and __. |  
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        Definition 
        
        - amniotic cavity - amnioblasts - amnioblasts - endometrium; vascular - glycogen; mucus |  
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        Term 
        
        DAY 9 -The blastocyst is more deeply embedded in the __. -The penetration defect in the surface epithelium of the endometrium is closed by a structure called the __ -The __ begins to differentiate near the embryonic pole, where vacuoles or spaces appear in the syncytium. -When these vacuoles fuse, they form larger spaces called __. -This phase of trophoblast development is called the __. |  
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        Definition 
        
        - endometrium - fibrin coagulum - trophoblast - lacunae - lacunar stage |  
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        Term 
        
        DAY 9 -At the __ (the pole opposite the embryonic pole), flattened cells that originate from the hypoblast form a thin membrane called the __ membrane that lines the inner surface of the __. -This membrane, together with the hypoblast, forms the lining of the __, or the __. |  
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        Definition 
        
        - abembryonic pole; exocoelomic membrane; cytotrophoblast - exocoelomic cavity; primitive yolk sac |  
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        Term 
        
        DAYS 11 and 12 -By this time, the __ is almost completely embedded in the endometrium. -The defect in the __ is almost completely covered. -The blastocyst causes a slight protrusion into the __. -The trophoblast is characterized by __ spaces in the syncytium that form an intercommunicating network. -This network is particularly evident at the __. -At the abembryonic pole, the trophoblast still consists mainly of __. |  
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        Definition 
        
        - blastocyst - endometrium - uterine lumen - lacunar spaces - embryonic pole - cytotrophoblastic cells |  
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        Term 
        
        DAYS 11 and 12 -Cells of the __ penetrate deeper into the endometrium and erode the lining of the maternal capillaries. -The __ are congested and dilated; they are called __. -The __ become continuous with the sinusoids, and maternal blood enters the lacunar system. -As the __ continues to erode more and more sinusoids, maternal blood begins to flow through the __ system. -The __* is then established. |  
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        Definition 
        
        -syncytiotrophoblast - capillaries; sinusoids - lacunae - trophoblast; trophoblastic - Uteroplacental circulation |  
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        Term 
        
        days 11 and 12 -Meanwhile…cells derived from the yolk sac form a loose connective tissue between the inner surface of the cytotrophoblast and the outer surface of the exocoelomic cavity called the __. -The __(previous) eventually fills all of the space between the __ externally and the __ internally. -Large cavities develop in the extraembryonic mesoderm, and when these cavities join together, they form a new space known as the __, or the __ -This space surrounds the primitive __ and __ except where the bilaminar disc is connected to the trophoblast by the connecting stalk. |  
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        Definition 
        
        -extraembryonic mesoderm - extraembryonic mesoderm; trophoblast; exocoelomic membrane - extraembryonic coelom; chorionic cavity - yolk sac; amniotic cavity |  
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        Term 
        
        DAYS 11 and 12 -The extraembryonic mesoderm lining the cytotrophoblast and amnion is called the __. -The lining covering the yolk sac is known as the __. -Growth of the __ is slow compared to that of the trophoblast, so the disc remains small. -Around the site of implantation, cells of the endometrium become polyhedral in shape, become filled with __ and __. -__ fills the extracellular spaces. -These changes, known as the __, occur in the area immediately surrounding the implantation site but soon occur throughout the endometrium. |  
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        Definition 
        
        -The extraembryonic mesoderm lining the cytotrophoblast and amnion is called the extraembryonic somatopleuric (parietal) mesoderm. -The lining covering the yolk sac is known as the extraembryonic splanchnopleuric (visceral) mesoderm. -Growth of the bilaminar disc is slow compared to that of the trophoblast, so the disc remains small. -Around the site of implantation, cells of the endometrium become polyhedral in shape, become filled with glycogen and lipids. -Fluid fills the extracellular spaces. -These changes, known as the decidua reaction, occur in the area immediately surrounding the implantation site but soon occur throughout the endometrium. |  
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        Term 
        
        day 13 -The defect in the __ usually has healed by this time. -However, some bleeding may occur at the implantation site due to increased blood flow into the __. -Since this happens around day __ of the menstrual cycle, it is often confused with normal menstrual bleeding. -This may cause __ in determining the expected __ |  
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        Definition 
        
        - endometrium - lacunar spaces - 28; normal - inaccuracy; date of delivery |  
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        Term 
        
        DAY 13 -__ form in the trophoblast. -Cells of the __ proliferate and penetrate into the __. -Cellular columns surrounded by syncytium form structures called __*. |  
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        Definition 
        
        - villous structures - cytotrophoblast; syncytiotrophoblast - primary villi |  
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        Term 
        
        day 13 -The __ produces additional cells that migrate along the inside of the exocoelomic membrane. -These cells proliferate and gradually form a new cavity within the __. -This new cavity is known as the __ or  __. -This new yolk sac is much __ than the __, or __. -During its formation, large portions of the __ are pinched off. -These pinched off portions are called __, which are often found in the extraembryonic coelom or chorionic cavity |  
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        Definition 
        
        -The hypoblast produces additional cells that migrate along the inside of the exocoelomic membrane. -These cells proliferate and gradually form a new cavity within the exocoelomic cavity. -This new cavity is known as the secondary yolk sac or definitive yolk sac. -This new yolk sac is much smaller than the original exocoelomic cavity, or primitive yolk sac. -During its formation, large portions of the exocoelomic cavity are pinched off. -These pinched off portions are called exocoelomic cysts, which are often found in the extraembryonic coelom or chorionic cavity |  
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        Term 
        
        day 13 -The extraembryonic coelom expands and forms a large cavity, the __. -The extraembryonic mesoderm lining the inside of the cytotrophoblast is called the __. -The only place where extraembryonic mesoderm crosses the chorionic cavity is in the __. -When the blood vessels develop, the connecting stalk becomes the __ |  
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        Definition 
        
        - chorionic cavity - chorionic plate - connecting stalk* - umbilical cord |  
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        Term 
        
        is the conceptus an invader? -Because 50% of the implanting embryo’s genome is derived from the father, it is a foreign body that should be rejected by the mother. -Recent evidence suggests that a combination of factors protects the conceptus, including production of __ and proteins, as well as the expression of an unusual __ class __ molecule (HLA-G) that blocks the recognition of the conceptus as foreign tissue. -If the mother suffers from an __, such as systemic lupus erythematosus, antibodies generated by the disease may attack the conceptus and reject it. -Patients with __ have poor reproductive outcomes and histories of spontaneous abortions |  
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        Definition 
        
        - - immunosuppressive cytokines; MHC; IB molecule - autoimmune disease - autoimmune disease |  
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        Term 
        
        Abnormal implantation -Abnormal implantation sites occur even within the uterus. -Normally, the __ implants along the anterior or posterior uterine wall. -Occasionally, the blastocyst implants close to the __ (opening) of the cervix, so that later in development, the placenta crosses the opening. -This condition, which is called __, causes severe, even life-threatening bleeding in the second part of pregnancy and during delivery. |  
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        Definition 
        
        - - blastocyst - internal os - placenta previa |  
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        Term 
        
        -Implantation can take place outside the uterus, resulting in an __ or __. -Ectopic pregnancies can occur at any place in the abdominal cavity, ovary, or uterine tube. -However, 95% of ectopic pregnancies occur in the __, mostly in the __. |  
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        Definition 
        
        - extrauterine; ectopic pregnancy - - uterine tube***; ampulla*** |  
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        Term 
        
        -In the __, the blastocyst most frequently attaches itself to the peritoneal lining of the __ or the __. -Sometimes, the blastocyst develops within the ovary causing a __ -In most ectopic pregnancies, the embryo dies around the __ of gestation, causing severe bleeding and abdominal pain in the mother. |  
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        Definition 
        
        - abdominal cavity; rectouterine cavity; pouch of douglas - primary ovarian pregnancy - second month |  
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        Term 
        
        abnormal blastocysts -It is likely that most __ would not produce any signs of pregnancy. -This is because the trophoblast was so inferior that the __ could not have persisted. -These embryos probably would have been aborted with the next __, so pregnancy would not have been detected |  
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        Definition 
        
        - abnormal blastocysts - corpus luteum - menstrual cycle |  
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        Term 
        
        -In some cases, some abnormal blastocysts will have trophoblastic development and formation of placental tissues. -This condition is called a __. -Moles secrete high levels of __ and may produce benign or malignant __ (invasive mole, choriocarcinoma). |  
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        Definition 
        
        - - hydatidiform mole - hCG; tumors |  
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        Term 
        
        -Genetic analysis of hydatidiform moles reveals that although male and female pronuclei may be genetically equivalent, they may be different functionally. -This evidence comes from the fact that while cells of the moles are diploid, their entire genome is __. -So, most moles arise from the fertilization of an oocyte lacking a nucleus, followed by duplication of the male chromosomes to restore the diploid number. -These results also suggest that __ regulate most of the development of the __, since in moles this tissue differentiates even in the absence of a female pronucleus. |  
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        Definition 
        
        -  - paternal - - paternal genes; trophoblast |  
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        Term 
        
        -__ is the process that establishes all three germ layers:  __, __, and __ -Gastrulation begins with the formation of the __ on the surface of the __. -The cephalic end of the streak, the __, consists of a slightly elevated area surrounding the __. -Cells of the __ migrate toward the primitive streak. -When they arrive, these cells become __, detach from the epiblast, and slip beneath it. -The inward movement of the cells is called __. |  
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        Definition 
        
        -Gastrulation is the process that establishes all three germ layers:  ectoderm, mesoderm, and endoderm. -Gastrulation begins with the formation of the primitive streak on the surface of the epiblast. -The cephalic end of the streak, the primitive node, consists of a slightly elevated area surrounding the small primitive pit. -Cells of the epiblast migrate toward the primitive streak. -When they arrive, these cells become flask-shaped, detach from the epiblast, and slip beneath it. -The inward movement of the cells is called invagination. |  
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        Term 
        
        gastrulation -Cell migration and specification are controlled by __, which is synthesized by __. -__(previous) down regulates __, a protein that normally binds __ cells together. -FGF8 then controls cell specification into mesoderm by regulating __ |  
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        Definition 
        
        - fibroblast growth factor 8 (FGF8); streak cells - fgf8; E-cadherin; epiblast - mesoderm; brachyury (T) expression |  
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        Term 
        
        gastrulation -Once the cells have invaginated, some of these cells displace the hypoblast, creating the __, and others come to lie between the epiblast and newly created endoderm to form __. -Cells remaining in the epiblast then form __. -So, the epiblast is the source of all of the germ layers. -Cells in the germ layers will give rise to all of the tissues and organs in the embryo. |  
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        Definition 
        
        - embryonic endoderm; mesoderm - ectoderm - epiblast - germ layers |  
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        Term 
        
        gastrulation -As more cells move between the __ and __ layers, they begin to spread laterally and cranially. -Gradually they migrate beyond the margin of the disc and establish contact with the __ that covers the __ and __. -In the cephalic direction, they pass on each side of the __ |  
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        Definition 
        
        - epiblast; hypoblast - extraembryonic mesoderm; yolk sac; amnion - prechordal plate |  
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        Term 
        
        gastrulation -The __ itself forms between the tip of the __ and the __ membrane and is derived from some of the first cells that migrate through the node in the cephalic direction. -Later, the __(previous) will be important for the induction of the __. -The __ at the cranial end of the disc consists of a small region of tightly adherent __ and __ cells that represents the future opening of the __.
  -Note:  The new terminology is __ membrane, replacing buccopharyngeal membrane. |  
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        Definition 
        
        - prechordal plate; notochord; buccopharyngeal membrane - prechordal plate; forebrain - buccopharyngeal membrane; ectoderm; endoderm; oral cavity - oropharyngeal |  
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        Term 
        
        formation of the notochord -__ invaginating in the primitive pit move forward cranially until they reach the __. -Prenotochordal cells become inserted into the __, so that for a short time, the midline of the embryo consists of two cell layers that form the __ -As the hypoblast is replaced by __ cells that move in at the streak, cells of the notochordal plate proliferate and detach from the endoderm. -They then form a solid cord of cells, the definitive __. -The notochord underlies the __ and serves as the basis for the __. |  
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        Definition 
        
        - prenotochordal cells; prechordal plate - hypoblast; notochordal plate - endoderm - notochord - neural tube; axial skeleton |  
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        Term 
        
        -The _ end of the __ forms first, while the __ regions are added as the primitive streak assumes a more caudal position. -The notochord and prenotochordal cells extend cranially to the __, an area just caudal to the __ and caudal to the __. -At the point where the pit forms an indentation in the epiblast, the __ temporarily connects the __ and __ cavities. |  
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        Definition 
        
        - cranial end; notochord; caudal - prechordal plate; buccopharyngeal membrane; primitive pit - neurenteric canal; amniotic; yolk sac |  
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        Term 
        
        formation of the notochord -The __ is formed at the caudal end of the embryonic disc. -The __(previous_), which is similar to the buccopharyngeal membrane, consists of tightly adherent __ and __ cells. -When the cloacal membrane appears, the posterior wall of the __ forms a small diverticulum that extends into the __. -The diverticulum is called the __ or __. -The __ remains rudimentary in humans and can be involved in abnormalities of bladder development. |  
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        Definition 
        
        - cloacal membrane - cloacal membrane; ectoderm; endoderm - yolk sac; connecting stalk - allantoenteric diverticulum; allantois - allantois |  
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        Term 
        
        -Establishment of body axes, anteroposterior, dorsoventral, and left-right, takes place before and during __. -The anteroposterior axis is signaled by cells at the anterior (cranial) margin of the __. -This area, the __ expresses genes essential for head formation, including three transcription factors and the secreted factors __ and __. -These genes and growth factors establish the __ of the embryo before gastrulation. -__, a growth factor, initiates the formation of and maintains the __. -Once the streak is formed, a number of __ regulate formation of dorsal and ventral mesoderm and head and tail structures |  
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        Definition 
        
        - gastrulation - embryonic disc - anterior visceral endoderm (AVE); cerberus; lefty - cranial end - nodal; primitive streak - genes |  
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        Term 
        
        establishment of body axis -__ is secreted throughout the embryonic disc. -__ and __ cause mesoderm to be ventralized, which contributes to the formation of __, __, and body wall __. -All mesoderm would be ventralized if BMP4 were not blocked by other genes expressed by the node. -So, the node is considered to be the organizer. -Hans Spemann first designated the node as the organizer. |  
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        Definition 
        
        -bone morphogenetic protein 4 (BMP4) - BMP4; FGF; kidneys; blood; mesoderm - BMP4 - node; organizer |  
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        Term 
        
        establishment of body axes -So, __ (activated by the transcription factor __), __ and __ antagonize the activity of __. -As a result, __ is dorsalized into __, __, and __. -Later, these three genes are expressed in the __, and are important in __ in the cranial region. |  
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        Definition 
        
        - chordin; (goosecoid); noggin; follistatin; BMP4 - cranial mesoderm; notochord; somites; somitomeres - notochord; neural induction |  
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        Term 
        
        establishment of body axes -___ maintains the node and later induces regional specificity in the forebrain and midbrain areas. -Without __, embryos fail to gastrulate properly and lack forebrain and midbrain structures |  
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        Definition 
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        Term 
        
        establishment of body axes -Note:  __ activates inhibitors of BMP4 and contributes to the regulation of __. -Over- or under expression of this gene results in __ of the head region. -__ and some types of conjoined twins can result due to over expression of __. |  
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        Definition 
        
        - goosecoid; head development - severe malformations - head duplications; goosecoid |  
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        Term 
        
        establishment of body axes -Regulation of __ formation in the middle and caudal regions of the embryo is controlled by the __ gene expressed in the __, __ cells, and __. -__ encodes a transcription factor which causes mesoderm formation in the middle and caudal regions. -The absence of Brachyury results in shortening of the __ (__). -The degree of shortening depends on the time at which the protein becomes deficient. |  
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        Definition 
        
        - dorsal mesoderm; brachyury; node; notochord precursor; notochord - brachyury - embyronic axis (caudal dysgenesis) |  
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        Term 
        
        -Gastrulation may be interrupted by __ or __. -In caudal __ or __, insufficient mesoderm is formed in the caudalmost region of the embryo. -Because this mesoderm contributes to the formation of the lower limbs, urogenital system (intermediate mesoderm), and lumbosacral vertebrae, abnormalities in these structures are seen. |  
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        Definition 
        
        - genetic abnormalities; toxic insults - caudal dysgenesis; sirenomelia |  
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        Term 
        
        -_:Affected individuals exhibit a variety of defects, including hypoplasia and fusion of the lower limbs, vertebral abnormalities, renal agenesis, imperforate anus, and anomalies of the genital organs. -The condition is associated with __, __, and the absence of __. -Sirenomelia is almost always __, with __ of babies stillborn and approximately __ dying within a few minutes to a few days. |  
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        Definition 
        
        - caudal dysgenesis (sirenomelia) - maternal diabetes; twinning; brachyury - fatal; 50%; 50% |  
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        Term 
        
        establishment of body axes -__ is established early in development and is orchestrated by a cascade of genes. -When the primitive streak appears, __ is secreted by cells in the __ and __, which induces expression of __, but only on the __ side of the embryo. -Later, after the establishment of the neural plate, __ maintains __ expression in the lateral plate mesoderm as well as __. -Both __ and __ upregulate PITX2. -PITX2 is a homeobox-containing transcription factor responsible for establishing __. -If the gene is expressed on the right side, laterality defects such as __ and __ result |  
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        Definition 
        
        - left-right sidedness - FGF8; node; primitive streak; nodel; left - FGF8; nodal; lefty-2 - nodal; lefty-2 - left sidedness - situs inversus; dextrocardia |  
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        Term 
        
        establishment of body axes -Lefty-1 is expressed on the __ of the __ of the __ and may act as a barrier to prevent left-sided signals from crossing over. -__ may also act as a repressor for left-sided gene expression on the right side. -The __ gene, that encodes a transcription factor secreted by the notochord, is also essential for the expression of __, __ and __. |  
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        Definition 
        
        - left side; floor plate; neural tube - SHH (sonic hedge hog) - brachyury T; nodal; lefty-1; lefty-2 |  
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        Term 
        
        establishment of body axes -The neurotransmitter __ plays a crucial role in the signaling cascade that establishes laterality. -5HT is concentrated on the left side, probably because it is broken down by the enzyme __ on the right and upstream from FGF8 signaling. -Alterations in 5HT signaling result in __, __, and other __. |  
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        Definition 
        
        - serotonin (5ht) - monoamine oxidase - situs inversus; dextrocardia; heart defects |  
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        Term 
        
        establishment of body axes -Genes regulating right-sided development are not as well defined as those on the left, although expression of the transcription factor ___ is restricted to the right lateral plate mesoderm and probably regulates the effector genes responsible for establishing the right side. -It is still not understood why the cascade is initiated on the left, but __ on cells in the __ beat to create a gradient established by __ and small __ transport. |  
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        Definition 
        
        - Snail - cilia; node; gap junctions; ion |  
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        Term 
        
        establishment of fate map -Cells of the epiblast that enter through the cranial region of the node become __. -Cells migrating at the lateral edges of the node and from the cranial end of the streak become __. -Cells migrating through the midstreak region become __. -Those cells migrating through the more caudal part of the streak from __ -Cells migrating through the caudalmost part of the streak contribute to __ (the other source of this type of mesoderm is the primitive yolk sac (hypoblast). |  
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        Definition 
        
        - notochord - paraxial mesoderm - intermediate mesoderm - lateral plate mesoderm - extraembryonic mesodrm |  
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        Term 
        
        growth of the embryonic disc -The __ is initially flat and almost round, but gradually becomes elongated, with a broad __ end and a narrow __ end. -Expansion of the disc occurs mainly in the __ region, while the region of the __ remains about the same size. -Growth and elongation of the cephalic part of the disc are caused by a continuous migration of cells from the __ region in a cephalic direction. -Invagination of surface cells in the __ and their subsequent migration forward and laterally continues until the end of the __. -At that time, the primitive streak shows signs of __, __, and soon __ |  
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        Definition 
        
        - embryonic disc; cephalic; caudal - cephalic; primitive streak - primitive streak - primitive streak; fourth week - regression;rapidly shrinks; disappears |  
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        Term 
        
        growth of the embryonic disc -It is interesting that the __ at the __ end of the embryo continues to supply new cells until the end of the __. -In the cephalic part of the embryo, the germ layers begin their differentiation by the middle of the __, whereas in the caudal part, differentiation begins by the end of the __. -So, gastrulation continues in __ segments, while __ structures are differentiating, causing the embryo to develop __ |  
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        Definition 
        
        -primitive streak; caudal; fourth week - third week; fourth week - caudal; cranial; cephalocaudally |  
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        Term 
        
        further development of the trophoblast -By the start of the third week, the trophoblast has __:  cytotrophoblast core covered by a __. -During further development, __ cells invade the core of the primary villi and grow toward the __. -This newly formed structure is known as a __. |  
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        Definition 
        
        - primary villi; synctial layer - mesodermal; decidua - secondary villus |  
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        Term 
        
        further development of the trophoblast -By the end of the third week, __ in the core begin to differentiate into __ and __, forming the __ system. -The villus is now called a __ or definitive villus. -Capillaries in __(previous) make contact with __ developing in __ of the chorionic plate and the connecting stalk. -These vessels, in turn, establish contact with the __, connecting the placenta and the embryo. -So, when the heart begins to beat in the __, the __ system is ready to supply the embryo with nutrients and oxygen. |  
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        Definition 
        
        - mesodermal cells; blood vessels; blood cells; villous capillary - tertiary villus - tertiary villi; capillaries; mesoderm - intraembryonic circulatory system - fourth week; villus |  
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        Term 
        
        clinical correlate -The beginning of the third week of development is a highly sensitive stage for __. -__ are drugs or other agents that cause abnormal prenatal development. -At this time, __ can be made for various organ systems, such as those for the eyes and brain. -These cell populations may be damaged by __. -For example, high doses of __ at this stage kill cells in the __ of the germ disc, producing a deficiency of the midline in __ structures. -This results in a condition known as __. -In severe cases, the __ are fused and the __ is located above the eye. -In mild cases, the only indication is a single __. |  
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        Definition 
        
        - teratogenic insulte - teratogens - fate maps - teratogens - alcohol; anterior midline; craniofacial - holoprosencephaly - eyes; nose - incisor tooth |  
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        Term 
        
        clinical correlate -__ is a condition in which the viscera (organs) of the thorax and abdomen are transposed or reversed. It has been estimated that situs inversus occurs once in __ to __ births. -Despite this reversal, other structural abnormalities occur only slightly more __. -Approximately 20% of patients with complete situs inversus also have __ problems including chronic __ because of abnormal __ (__). -__ are normally present on the __ surface of the __ and may be involved in left-right patterning during gastrulation. |  
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        Definition 
        
        - situs inversus - 6000; 8000 - frequently - respiratory; sinusitis; cilia (kartagener's syndrome) - cilia; ventral; primitive |  
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        Term 
        
        clinical correlate -Sometimes, remnants of the __ persist in the sacrococcygeal region. -The clusters of these pluripotent cells proliferate and form tumors known as __. -These tumors commonly contain tissues from all __. -This is the most common tumor in __, occurring with a frequency of 1 in 37,000. -These tumors may also arise from __ that fail to migrate to the __. |  
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        Definition 
        
        - primitive streak - sarcococcygeal tumors - three germ layers - newborns - primordial germ cells; gonadal ridge |  
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        Term 
        
        the embryonic period -The embryonic period is also known as the period of __. -This is the time when each of the __ gives rise to specific tissues and organs. -By the end of the embryonic period, the main __ have been established. -The main features of the external body are recognizable by the end of the second month. |  
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        Definition 
        
        - organogenesis - three germ layers (ectoderm, mesoderm, and endoderm) - organ systems - second month |  
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        Term 
        
        -At the beginning of the third week of development, the __ has the shape of a disc that is broader in the __ region than in the __ region. -The appearance of the notochord and prechordal mesoderm induces the overlying __ to thicken and form the __. -Cells of the plate make up the __, and their induction initiates the process of __ |  
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        Definition 
        
        - ectodermal germ layer; cephalic; caudal - ectoderm; neural plate - neuroectoderm; neurulation |  
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        Term 
        
        neurulation -Once induction has occurred, the elongated __ gradually expands toward the __. -By the end of the third week, the lateral edges of the __ become more elevated to form __, and the depressed midregion forms the __. -Gradually the neural folds grow toward each other in the midline, where they __. -Fusion begins in the __ region and proceeds __ and __. -This fusion results in the formation of the __. -Until fusion is complete, the __ and __ ends of the neural tube remain open and communicate with the amniotic cavity by way of the __ and __ |  
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        Definition 
        
        - neural plate; primitive streak - neural plate; neural folds; neural groove - fuse - cervical; cranially; caudally - neural tube - cephalic; caudal; cranial; caudal neurophores |  
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        Term 
        
        neurulation -Closure of the cranial neuropore occurs at approximately __*, and closure of the caudal neuropore occurs at day ___*. -__ is then complete and the central nervous system is represented by a closed tubular structure with a narrow caudal portion, which forms the spinal cord, and a much broader cephalic portion characterized by a number of dilations called the __. |  
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        Definition 
        
        - day 25; day 27 - neurulation; brain vesicles |  
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        Term 
        
        -As the __ elevate and fuse, cells at the lateral border or crest of the __ begin to dissociate from their neighbors. -This cell population, the __, will undergo an __-to-__ transition as it leaves the neuroectoderm by active migration and displacement to enter the underlying mesoderm. -Note:  Mesoderm refers to cells derived from the __ and ___.  __ refers to loosely organized embryonic connective tissue regardless of origin** |  
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        Definition 
        
        - neural folds; neuroectoderm - neural crest; epithelial; mesenchymal - epiblast; extraembryonic tissues; mesenchyme |  
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        Term 
        
        neural crest cells - Intermediate levels of __ induce neural crest formation. -__ (previous) also regulate the migration, proliferation, and differentiation of __ |  
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        Definition 
        
        - BMP - BMPs; neural crest cells |  
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        Term 
        
        clinical correlate: neural tube defects -Neural tube defects result when the neural tube fails to __. -If the neural tube fails to close in the cranial region, the defect is called __. -If the neural tube fails to close anywhere from the cervical region caudally, the defect is called __. -Neural tube defects can be prevented if women take __ of ___ daily, beginning 3 months prior to conception. |  
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        Definition 
        
        - close - anencephaly - spina bifida - 400 micrograms; folic acid |  
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        Term 
        
        ectodermal derivatives -The ectodermal germ layer gives rise to organs and structures that maintain contact with the outside world: -It also gives rise to __ glands, the __ glands, the __ gland, and the __ |  
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        Definition 
        
        - CNS; peripheral nervous system; sensory epithelium of the ear, nose, and eye; epidermis including hair and nails - subcutaneous; mammary; pituitary; enamel of the teeth |  
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        Term 
        
        derivatives of the mesoderm germ layer -Initially, cells of the mesoderm form a thin sheet on either side of the midline. -Around the 17th day, cells close to the midline proliferate and form a thickened plate of tissue known as __. -More laterally, the mesoderm layer remains thin and is known as the __. -The lateral plate divides into two layers: --__ or __ --__ or __ |  
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        Definition 
        
        - - paraxial mesoderm - lateral plate - -- somatic or parietal mesoderm -- splanchnic or visceral mesoderm |  
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        Term 
        
        derivatives of the mesoderm germ layer -Somatic/parietal mesoderm is a layer that is continuous with mesoderm covering the __. -Splanchnic/visceral mesoderm is a layer that is continuous with mesoderm covering the __. -Together, these layers line a newly formed cavity, the __, which is continuous with the extraembryonic cavity on each side of the embryo. -__ connects paraxial and lateral plate mesoderm. |  
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        Definition 
        
        - amnion - yolk sac - intraembryonic cavity - intermediate mesoderm |  
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        Term 
        
        derivatives of the mesoderm germ layer -By the beginning of the third week, __ begins to be organized into segments. -These segments, known as __, first appear in the cephalic region of the embryo. -Their formation proceeds in a __ direction. -Somitomeres further organize into __. -__(previous) ultimately differentiate into __ and __, __, and __. -Since somites appear in with a specified periodicity, the age of an embryo can be accurately determined by __ (see Table 6.2, p. 77) |  
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        Definition 
        
        - paraxial mesoderm - somitomeres - cephalocaudal - somites -somites; vertebrae; ribs; muscles; dermis - counting somites |  
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        Term 
        
        | Neural crest cells form the following: |  
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        Definition 
        
        -Connective tissue and bones of the face and skull -Cranial nerve ganglia -C cells of the thyroid gland -Conotruncal septum of the heart -Odontoblasts -Dermis in the face and neck -Dorsal root ganglia -Sympathetic chain ganglia and preaortic ganglia -Parasympathetic ganglia of the GI tract -Adrenal medulla -Schwann cells -Glial cells -Meninges of the forebrain -Melanocytes -Smooth muscle cells of blood vessels in face and forebrain |  
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        Term 
        
        derivatives of the mesoderm germ layer -__ splits into parietal and visceral layers, which line the __ cavity and surround the __, respectively. -Mesoderm from the parietal layer, together with overlying __, will form the __ and __. -The visceral layer and embryonic endoderm will form the wall of the __. -Mesodermal cells of the __ layer surrounding the intraembryonic cavity will form thin membranes, the __ membranes, or __ membranes, which line the pleural, pericardial, and peritoneal cavities. -Mesodermal cells of the __ layer will form a thin serous membrane around each organ. |  
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        Definition 
        
        - lateral plate mesoderm; intraembryonic cavity; organs - ectoderm; lateral; ventral body wall - gut - parietal; mesothelial membranes; serous membranes - visceral |  
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        Term 
        
        derivatives of mesoderm germ layer -Blood vessels form in two ways: --__, where vessels arise from blood islands. --__, where vessels arise by sprouting from existing vessels. -The first blood islands appear in mesoderm surrounding the wall of the yolk sac at 3 weeks of development and slightly later in lateral plate mesoderm. -These islands arise from mesoderm cells that are induced to form __, a common precursor for vessel and blood cell formation. -__(previous) are induced by __, which is secreted by surrounding mesoderm cells. |  
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        Definition 
        
        - -- vasculogenesis -- angiogenesis - - hemangioblasts - hemangioblasts; vascular endothelial growth factor (VEGF) |  
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        Term 
        
        derivatives of endoderm germ layer -The __ is the main organ system that is derived from the endodermal germ layer. -This germ layer covers the ventral surface of the __ and forms the root of the __. -With the development and growth of the brain vesicles, the embryonic disc begins to bulge into the __ cavity and to fold cephalocaudally. -This folding is most pronounced in the __ and __ regions, where the __ fold and __ fold are formed. |  
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        Definition 
        
        - gastrointestinal tract - embryo; yolk sac - amniotic cavity - head; tail; head; tail |  
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        Term 
        
        derivative of the endodermal germ layer -As a result of the cephalocaudal folding, a continuously larger portion of the endoderm-lined cavity is incorporated into the body of the embryo. -In the anterior part, the endoderm forms the __. -In the tail region, the endoderm forms the __. -The part between the foregut and hindgut is the __. --The __(previous) temporarily communicates with the __ by way of a broad stalk, the __. |  
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        Definition 
        
        - foregut - hindgut - midgut -- midgut; yolk sac; vitelline duct |  
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        Term 
        
        derivatives of the endoderm germ layer -At its cephalic end, the foregut is temporarily bounded by an ectodermal-endodermal membrane called the __. -In the fourth week, the __ (previous) ruptures, establishing an open connection between the __ and the __. -The hindgut also terminates temporarily at an ectodermal-endodermal membrane, the __, which breaks down in the seventh week to create the opening for the anus. |  
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        Definition 
        
        - buccopharyngeal membrane - buccopharyngeal membrane; amniotic cavity; primitive gut - clocal membrane |  
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         | 
        
        
        Term 
        
        | derivatives of the endodermal germ layer: |  
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        Definition 
        
        -The endodermal germ layer initially forms the epithelial lining of the primitive gut and the intraembryonic portions of the allantois and vitelline duct. -Later, it gives rise to: --The epithelial lining of the respiratory tract. --The parenchyma of the thyroid, parathyroids, liver and pancreas. -The reticular stroma of the tonsils and thymus. -The epithelial lining of the urinary bladder and urethra. -The epithelial lining of the tympanic cavity and auditory tube. |  
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        Term 
        
        fetal development - __: Beginning of ninth week to birth - Maturation of __ and __ -Growth of the body --Growth in length predominates early --Increase in __ last 2 ½ months -Length of gestation -__ days or __ weeks from last normal menstrual period -__ days or __ weeks from fertilization |  
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        Definition 
        
        - fetal period - organs and tissues - -- -- weight - -- 280; 40 weeks -- 266; 38 -- -- |  
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        Term 
        
        fetal development - slowdown in __ relative to rest of body |  
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        Definition 
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        Term 
        
        third month -__ becomes more human looking --__ move to ventral aspect of face --__ move close to their final position -__ reach relative length in relation to body length --__ remains a little behind -__ appear in skull and long bones -__ develop to point where sex can be determined by external examination -__ withdraw into abdomen from umbilical cord -__ activity is present |  
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        Definition 
        
        - face  -- eyes -- ears - limbs -- lower limb - primary ossification centers - external genitalia - intestinal loops - muscular |  
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        Term 
        
        fourth and fifth - __ lengthens rapidly --__ length is about 15 cm -__ increases little:  Still <500 g -Covered with __ --Eyebrows and head hair present -During the __, the mother can feel fetal movement |  
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        Definition 
        
        - fetus -- crown-rump - weight - fine hair (lanugo hair) -- - fifth month |  
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        Term 
        
        sixth and seventh month - Skin is __ and __ --Lack of underlying __ -Fetus at the edge of __ --__ and __ are still too immature --By the end of 7th month ---Length 25 cm, weight 1100 g ---Now has high chance of survival |  
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        Definition 
        
        - reddish; wrinkled -- connective tissue - viability -- respiratory; cns |  
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        Term 
        
        eights and ninth month -__ increases --Deposition of __ --Rounder contours -At end of gestation --Skin covered by a white fatty substance from the secretory products of __, called __ --__ has the largest circumference of all body parts --Normal fetus:  3000-3400 g, CHL 50 cm, CRL 36 cm |  
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        Definition 
        
        -weight -- subcutaneous fat -- - -- sebaceous glands; vernix caseosa -- head -- |  
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        Term 
        
        time of birth -Most accurate: __ days after fertilization --Usually difficult to determine -Fairly accurate:  __ days from first day of last normal menstrual period --Inaccuracies from irregular periods or erosive activity of __ blastocyst causing bleeding -Most fetuses are born within 10-14 days of calculated date --If born much earlier, they are categorized as __ --If born later, __ |  
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        Definition 
        
        - 266 -- - 280 -- implanting - -- premature -- postmature |  
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        Term 
        
        Time of birth -__ is used commonly to help manage pregnancies --Measurements made by ultrasound are highly accurate in determining fetal age --Accurate to within 1-2 days prior to 16 weeks ---CRL --After 16 weeks, a composite of several measurements ---Biparietal diameter, head circumference, abdominal circumference, femur length |  
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        Definition 
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        Term 
        
        fetal membranes and placenta -Demand for nutritional and other factors grows as the __ grows -__ changes to meet these requirements -Increased __ production also changes the configuration of the fetal membranes |  
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        Definition 
        
        - fetus - placenta - amniotic fluid |  
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        Term 
        
        trophoblast -Numerous small extensions grow out from the __ forming the __ that extend into the intervillous spaces --Initially primitive in configuration --Reconfigure so that fetal and maternal circulation are separated by only the __ and the __ |  
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        Definition 
        
        - stem villi; free villi -- -- endothelial wall; syncytium |  
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        Term 
        
        chorion -Initially, villi cover the entire surface of the __ -As pregnancy advances, the villi continue to grow and expand on the __ becoming the __ -Villi on the __ degenerate (__) |  
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        Definition 
        
        - chorion - embryonic pole;chorion frondosum - abembryonic pole; (chorion leave) |  
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        Term 
        
        decidua -These changes are also reflected in the __ --The __ is adjacent to the chorion frondosum and consists of large cells with abundant __ and __ --The __ over the abembryonic pole stretches and degenerates as pregnancy progresses ---The __ leave eventually contacts the __ and fuses with it obliterating the uterine cavity |  
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        Definition 
        
        - decidua -- decidua basalis; lipid; glycogen -- decidua capsularis --- chorion; uterine wall (decidua parietalis) |  
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        Term 
        
        -The only part of the chorion participating in exchange between maternal and fetal circulation is the __ -Together the __ and the __ make up the placenta -The __ also expands with continuation of pregnancy and eventually obliterates the __ with fusion of the amnion and chorion into the amniochorionic membrane |  
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        Definition 
        
        - chorion frondosum - chorion frondosum; decidua basalis - amniotic cavity; chorionic cavity |  
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        Term 
        
        structure of placenta -Formed by the beginning of the 4th month Fetal part:  __ Maternal part:  __ Fetal side:  ___ Maternal side: __ -4th and 5th month: __ form --Projections of decidua into the intervillous spaces --Don’t reach __ --Divides the placenta into __ |  
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        Definition 
        
        - -- chorion frondosum -- decidua basalis -- chorionic plate -- decidual plate - decidual septa -- -- chorionic plate -- cotyledons |  
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        Term 
        
        - full term placenta --15-25 cm diameter, 3 cm thick --500-600 g --15-20 __ --Umbilical cord attached near center --Expelled from the uterus about __ after birth of child |  
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        Definition 
        
        -- -- -- cotyledons --  -- 30 minutes |  
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        Term 
        
        placental circulation -__ supply the placenta -Blood circulates through the __ bathing the villi then exits through __ back at the __ --__ contain about 150 ml of blood --Replenished 3-4 times per minute -Placental exchange occurs in those villi where __ are in close contact with the __ covering the villous |  
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        Definition 
        
        - 80-100 spiral arteries - intervillous spaces; endometrial; decidual plate -- intervillous spaces -- - fetal capillaries; syncytium |  
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        Term 
        
        function of placenta: exchange of gases -Gases are exchanged by simple __ -Fetus extracts 20-30 ml of __ per minute -Even short-term interruption of __ delivery is fatal to a fetus -__ is critical to oxygen delivery |  
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        Definition 
        
        - diffusion - oxygen - oxygen - placental blood flow |  
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        Term 
        
        function of placenta -Exchange of __ and __ --Amino acids, free fatty acids, carbohydrates, vitamins -Transmission of maternal __ -- includes __ and __ immunity |  
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        Definition 
        
        - nutrients; electrolytes -- - antibodies -- IgG; passive immunity |  
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        Term 
        
        function of placenta: hormone production - hormones are synthesized in the __ - placental hormones include: |  
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        Definition 
        
        - synctiotrophoblast - progesterone; estrogenic hormones, primarily estriol; human chorionic gonadotropin; somatomammotropin (formerly placental lactogen) |  
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        Term 
        
        function of placenta: hormone production -Hormones are synthesized in the __ -Progesterone --Can support the pregnancy without the __ by end of __ month --Estrogenic hormones, predominately estriol --__ growth and __ development -Human chorionic gonadotropin --Secreted in early pregnancy to support the __ -Somatomammotropin (formerly placental lactogen) --Fetal priority for maternal __ --Makes mother __ --__ development and __ production --__ hormone-like |  
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        Definition 
        
        -syncytiotrophoblast  - -- corpus luteum; 4th - -- uterine; mammary gland - --corpus luteum - -- blood glucose -- diabetogenic -- breast; milk -- growth |  
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        Term 
        
        umbilical cord -Primitive umbilical ring is the oval line of reflection between the __ and the __ - contains: -- __: allantois, umbilical vessels -- __: vitelline duct and vessels --canal connecting the __ and __ |  
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        Definition 
        
        - amnion; embryonic ectoderm - -- connecting stalk -- yolk stalk -- extraembryonic; intraembryonic cavities |  
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        Term 
        
        umbilical cord -As the amniotic cavity expands, the amnion begins to envelope the connecting stalk and yolk stalk forming the __ -Eventually, only the __ surrounded by __ (a type of mucous tissue) make the umbilical cord |  
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        Definition 
        
        - primitave umbilical cord - umbilical vessels; wharton's jelly |  
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        Term 
        
        amniotic fluid -The amniotic cavity is filled with a clear, watery fluid derived primarily from __ --__ at 10 weeks --__ ml at 20 weeks --__ at 37 weeks -During early months, the embryo is suspended by its __ in the amniotic fluid |  
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        Definition 
        
        - maternal blood --30ml --450ml --800-1000 ml - umbilical cord |  
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        Term 
        
        amniotic fluid - The fluid acts to: --Absorb jolts --Prevent adherence of the embryo to the __ --Allow fetal movements -Replaced every __ -Starting in the 5th month, the fetus drinks about __ per day -__ is added to the fluid |  
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        Definition 
        
        - -- -- amnion -- - 3 hours - 400ml - fetal urine |  
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        Term 
        
        twins: dizygotic twins -__ of twins are dizygotic, or fraternal -7 to 11 per 1000 births, increases with __ -Ovulation and fertilization of two __ -Implant separately in __ -Each has its own __ and membranes --Sometimes the __ or less commonly the placentas come into apposition and fuse |  
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        Definition 
        
        - 2/3 - maternal age - oocytes - uterus - placenta -- chorionic sacs |  
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        Term 
        
        twins: monozygotic -Develop from a single fertilized __ -3-4 per 1000 births -Splitting of the __ at various stages of development --May split as early as the __ ---Two separate zygotes develop with their own __ and __ |  
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        Definition 
        
        - oocyte - - zygote -- two-cell stage --- placentas; membranes |  
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        Term 
        
        Twins -Splitting may occur at the early __ stage --__ splits within same blastocyst cavity ---Common __ and __; separate __ cavities (monochorionic, diamniotic) -Separation at the __ stage, prior to appearance of the __ --Monochorionic, monoamniotic |  
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        Definition 
        
        - blastocyst -- inner cell mass --- placenta; chorion; amniotic - bilaminar germ disc; primitive streak |  
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        Term 
        
        | __ are rare, 1 per 7600 pregnancies |  
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        Definition 
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        Term 
        
        twins: problems -High __ and __ --12% of premature infants are twins --Usually small at birth --Prematurity and low birth weight result in increased mortality -Vanishing twin -Twin transfusion syndrome -Obstetrical complications at delivery |  
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        Definition 
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        Term 
        
        Twins: conjoined (siamese) twins - __ stage splitting --Partial splitting of the __ and __ -Classified by nature and degree of union |  
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        Definition 
        
        - later -- primitive node; streak |  
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        Term 
        
        Parturition (birth) -Factors initiating labor are not known -“Retreat from maintenance of pregnancy” --Withdrawal of supporting factors --Active induction by stimulatory factors -Labor is divided into three stages --Stage 1:  __ and __ --Stage 2:  delivery of __ --Stage 3:  delivery of __ and __ |  
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        Definition 
        
        - - -- -- - -- effacement; dilation of cervix -- fetus -- placenta;  membranes |  
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        Term 
        
        birth defects -40-60% are of __ --Genetic factors:  15% --Environmental factors:  10% --Combination genetic and environmental:  20-25% --Twinning:  0.5-1% |  
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        Definition 
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        Term 
        
        birth defects -Minor anomalies occur in 15% of newborns --Small ears, pigmented spots, short palpebral fissures M--ay be a clue to a major defects ---1 minor, 3% have major --2 minors, 10% --3 minors, 20% --__ anomalies are especially important indicators |  
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        Definition 
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        Term 
        
        types of abnormalities -__: Complete or partial absence of a structure or alterations of its normal configuration --Most originate during __ of gestation -__: Morphological alteration of an already formed structure by a destructive process -__: Mechanical forces mold a part of the fetus over time, Often musculoskeletal |  
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        Definition 
        
        - malformation -- 3rd-8th week - disruption - deformation |  
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        Term 
        
        types of abnormalities  -__: Group of anomalies occurring together that have a specific common cause --Risk of __ is known -__: Non-random appearance of two or more anomalies that occur more frequently than by chance alone, but the cause has not been determined |  
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        Definition 
        
        - syndrome -- recurrence - association |  
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        Term 
        
        -__ factors can cause birth defects --In the 1940s, it was discovered that __ infections early in pregnancy caused birth defects --In 1961, limb defects were linked to use of __ --Many agents have now been identified as teratogens |  
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        Definition 
        
        - environmental -- rubella -- thalidomide |  
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        Term 
        
        principles of teratology
  -Susceptibility to teratogenesis depends on the genotype of the conceptus and the maternal genome -Susceptibility to teratogens varies with developmental stage at the time of exposure -Manifestations depend on dose and duration of exposure -Teratogens have specific mechanisms to initiate pathogenesis -Manifestations of abnormal development are death, malformation, growth retardation, and functional disorders |  
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        Definition 
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        Term 
        
        male mediated teratogenesis -Exposure to chemicals and other agents can cause mutations in male germ cells -Advanced paternal age is a factor for limb and neural tube defects, Down syndrome, and new autosomal mutations -Paternal exposures have been linked to spontaneous abortion, low birth weight, and birth defects |  
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        Definition 
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        Term 
        
        -__:High frequency sound waves reflected from tissues to make images --Transabdominal or transvaginal --Fetal age and growth, structural abnormalities, amniotic fluid volume, blood and fluid flow, multiple gestations --Neural tube defects, abdominal wall defects, heart defects, facial defects |  
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        Definition 
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        Term 
        
        maternal serum screening: Biochemical markers of fetal status -__, __ --Neural tube defects have high levels --Down syndrome has slightly lower levels --Others ---Abdominal wall defects -Hormone levels: hormone __ |  
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        Definition 
        
        - afp; alpha-fetoprotein - hormone hCG |  
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        Term 
        
        - __:Needle inserted transabdominally and amniotic fluid is withdrawn -->14 weeks gestation --1% risk of fetal loss -Fluid and cells for biochemical and genetic analysis: |  
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        Definition 
        
        - amniocentesis - afp; karyotype; and enzyme/single gene levels |  
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         |