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Embryology · USMLE Step 1 · Healthcare and Nursing

USMLE Embryology: Congenital Anomalies and Teratogens

Classic teratogens and the congenital anomaly they cause, plus critical period timing concepts tested on USMLE Step 1.

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35 basic cards for USMLE Step 1 Embryology. Set 3 of 11 in USMLE Embryology. It opens with "Which classic teratogen causes limb reduction defects (phocomelia)?" and "ACE inhibitor use in the second or third trimester causes what fetal effect?". Study it alongside the other USMLE Step 1 sets below.

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Which classic teratogen causes limb reduction defects (phocomelia)?
Show answerThalidomide
ACE inhibitor use in the second or third trimester causes what fetal effect?
Show answerFetal renal damage (renal dysplasia) and oligohydramnios
What facial finding is classic for fetal alcohol syndrome?
Show answerA smooth philtrum with a thin upper lip
Fetal alcohol syndrome is the leading preventable cause of what condition?
Show answerIntellectual disability
Which class of antibiotics is ototoxic to the developing fetus?
Show answerAminoglycosides
Carbamazepine exposure in utero is associated with which anomalies?
Show answerNeural tube defects and craniofacial defects
Prenatal exposure to diethylstilbestrol (DES) increases the daughter's risk of which cancer?
Show answerClear cell adenocarcinoma of the vagina
Methotrexate is teratogenic because it antagonizes which vitamin?
Show answerFolate (folic acid)
Folate antagonist exposure in early pregnancy classically causes which defect?
Show answerNeural tube defects
Isotretinoin exposure during pregnancy causes what category of defects?
Show answerSevere CNS, craniofacial, and cardiac malformations
Which mood stabilizer causes Ebstein anomaly when taken during pregnancy?
Show answerLithium
Ebstein anomaly involves apical displacement of which heart valve?
Show answerThe tricuspid valve
Phenytoin exposure in utero produces which syndrome?
Show answerFetal hydantoin syndrome (cleft lip and palate, nail and digit hypoplasia, microcephaly)
Tetracycline exposure after mid pregnancy causes what fetal effect?
Show answerDiscolored teeth and inhibited bone growth
Valproate exposure in early pregnancy is strongly linked to which defect?
Show answerNeural tube defects

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