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Teratology Test.

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What area of the body has a critical period of 3 weeks to term?   CNS  
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What area of the body has a critical period of 3 weeks to 8 weeks?   Heart  
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What area of the body has a critical period of 4 weeks to 8 weeks?   Upper and Lower Limbs  
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What area of the body has a critical period of 4 weeks to 20 weeks?   Ear  
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What area of the body has a critical period of 4 weeks to term?   Eyes  
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What area of the body has a critical period of 6 weeks to 16 weeks?   Palate  
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What area of the body has a critical period of 6 weeks to term?   Teeth  
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What area of the body has a critical period of 7 weeks to term?   External Genitalia  
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What are the 3 FDA guidelines   1) Fertility and General Reproductive performance, 2) Teratological Study, 3) Perinatal and Postnatal studies.  
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St. John's Wart causes?   Pregnancy, contradicts oral contraceptives  
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SSRIs (prozac, zoloft, celexa, lexapro) cause?   Low risk of anything, may affect motor development.  
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Paxil may cause?   Heart Defects  
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Lithium may cause?   Ebstein's anomaly.  
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Anticonvulsants may cause?   Malformations, OB complications, Hemorrhage, Developmental Delay.  
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Aminopterne & Methotrexate may cause?   Mild MR, craniofacial anomalies  
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ACE inhibitors may cause?   Renal problems, Renal tubular dysplasia, can lead to oligo and Potter's  
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DES may cause?   From week 0 to week 20, Genital anomalies  
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Misoprostol may cause?   From the 6th week to the 8th week, Limb reduction, Moebius sequence, CNS anomalies  
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Accutane may cause?   From 15th day to 1st trimester, CNS, Ear, Heart  
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Streptomycin may cause?   Perceptive hearing loss  
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Tetracycline may cause?   After the 4th month, Defects in primary teeth.  
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Thalidomide may cause?   34-50 days after LMP, Phocomelia, Amelia  
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Warfarin may cause?   6th to 9th week, Seziures, hypoplasia of nose  
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Retinoic Acid may cause?   3rd through the 5th week, Crainofacial, Cleft palate, NTD, Heart  
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Valporic Acid may cause?   Spinal Tube defects  
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Alcohol may cause?   Miscarriage, FAS  
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Tobacco may cause?   IUGR, Prematurity, stillbirth  
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Cocaine may cause?   SIDS  
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Methylmercury may cause?   CNS  
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Rubella may cause?   Cataracts, Heart, deafness, MR  
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CMV may cause?   Hepatosplenomegaly, Microcephaly, Cerebral calcification  
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Herpes may cause?   IUGR, Microcephaly  
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Varicella may cause?   8th to 20th week exposure, Scarring, Limb hypoplasia, IUGR,  
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5th disease/Parvovirus B-19 may cause?   Minimal Risk, Hydrops  
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Toxoplasmosis may cause?   Hydrocephalus, Chorioretinitis, Hephatosplenomegaly, Deafness/blindess.  
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Questions to ask the patient:   Do you drink, how much? Do you smoke, how much? Do you take any OTC drugs, which? Do you use any illegal substances, which? Have you had X-Rays since you've been pregnant? Are you epileptic? Do you have high blood pressure, take ACE inhibitors?  
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What causes Cleft Lip/Palate?   Anti-seizure/anticonvulsant medications, acne medications containing Accutane, and methotrexate, Glucticosteriods  
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What drugs can cause CHD?   Antipsychotic drugs, Anticonvulsants  
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What drugs cause Meningomyelocele?   Anticonvulsants.  
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How much Folic Acid should a pregnant women have in her diet?   0.4mg daily  
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How much Folic Acid should a pregnant women who already had a child with ONTD have in her diet?   2-4mg daily.  
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