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Embryology · USMLE Step 1 · Healthcare and Nursing

USMLE Embryology: Limb and Skeletal Development

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

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27 basic cards for USMLE Step 1 Embryology. Set 7 of 11 in USMLE Embryology. It opens with "What two tissues combine to form a limb bud?" and "What structure at the distal tip of the limb bud drives proximodistal (tip)". Study it alongside the other USMLE Step 1 sets below.

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What two tissues combine to form a limb bud?
Show answerLateral plate mesoderm and the surface ectoderm covering it
What structure at the distal tip of the limb bud drives proximodistal (tip) outgrowth?
Show answerThe apical ectodermal ridge (AER)
What growth factor family does the AER secrete to sustain limb bud outgrowth?
Show answerFibroblast growth factors (FGFs)
What structure at the posterior margin of the limb bud establishes the anteroposterior axis?
Show answerThe zone of polarizing activity (ZPA)
What morphogen does the ZPA secrete to pattern the anteroposterior axis of the limb?
Show answerSonic hedgehog (Shh)
What signaling protein from the dorsal ectoderm establishes the dorsoventral axis of the limb?
Show answerWnt7a
What process removes the tissue between developing digits so they separate?
Show answerApoptosis of the interdigital mesenchyme
Which limb buds appear first in development, upper or lower?
Show answerUpper limb buds
During which weeks of gestation does most limb development occur (the teratogen-sensitive window)?
Show answerWeeks 4 through 8
What gene family provides proximodistal positional identity within the limb bud?
Show answerHox genes
What does the sclerotome of a somite give rise to?
Show answerVertebrae and ribs
What does the myotome of a somite give rise to?
Show answerSkeletal muscle
What does the dermatome of a somite give rise to?
Show answerThe dermis of the skin
What ossification process forms most of the bones in the body, using a cartilage model?
Show answerEndochondral ossification
What ossification process forms the flat bones of the skull and the clavicle, without a cartilage model?
Show answerIntramembranous ossification

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