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Embryology · USMLE Step 1

USMLE Embryology: Limb and Skeletal Development

Limb bud formation, digit patterning, and classic limb malformation syndromes tested on USMLE Step 1.

27 cards · basic cards · AI-written, checked twice. Edit anything.

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What two tissues combine to form a limb bud?
Lateral plate mesoderm and the surface ectoderm covering it
What structure at the distal tip of the limb bud drives proximodistal (tip) outgrowth?
The apical ectodermal ridge (AER)
What growth factor family does the AER secrete to sustain limb bud outgrowth?
Fibroblast growth factors (FGFs)
What structure at the posterior margin of the limb bud establishes the anteroposterior axis?
The zone of polarizing activity (ZPA)
What morphogen does the ZPA secrete to pattern the anteroposterior axis of the limb?
Sonic hedgehog (Shh)
What signaling protein from the dorsal ectoderm establishes the dorsoventral axis of the limb?
Wnt7a
What process removes the tissue between developing digits so they separate?
Apoptosis of the interdigital mesenchyme
Which limb buds appear first in development, upper or lower?
Upper limb buds
During which weeks of gestation does most limb development occur (the teratogen-sensitive window)?
Weeks 4 through 8
What gene family provides proximodistal positional identity within the limb bud?
Hox genes
What does the sclerotome of a somite give rise to?
Vertebrae and ribs
What does the myotome of a somite give rise to?
Skeletal muscle
What does the dermatome of a somite give rise to?
The dermis of the skin
What ossification process forms most of the bones in the body, using a cartilage model?
Endochondral ossification
What ossification process forms the flat bones of the skull and the clavicle, without a cartilage model?
Intramembranous ossification

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