First Aid for the
USMLE Step 1 2011 EXPRESS workbook
Copyright © 2011 by MedIQ Learning, LLC All rights reserved
11. How many chorions and amniotic sacs do conjoined twins have?
____________________ 12. If a zygote splits between day 3 and day 8, what type of twins will result?
______________ 13. How many arteries and how many veins are contained in the umbilical cord?
___________ 14. The umbilical arteries carry _______________ (oxygenated/deoxygenated) blood.
15. What structure connects the fetal bladder with the yolk sac?
________________________ 16. What is the term for a fistula between the umbilicus and terminal ileum?
______________ 17. In the embryonic heart, the right common cardinal vein and the right anterior cardinal vein jointly give rise to which vein in the adult?
) ___________________________________________ 18. Which two cardiac structures are created by migration of neural crest cells?
) __________ ______________________________________________________________________________ 19. Which embryonic shunt diverts oxygenated blood from the inferior vena cava into the left atrium?
________________________________________________________________________ 20. Which embryonic shunt directs oxygenated blood around the hepatic circulation?
______ ______________________________________________________________________________ 21. Which embryonic shunt bypasses the high-resistance pulmonary circulation?
_________ ______________________________________________________________________________ 22. What is the approximate oxygen saturation (%) of the blood returning from the placenta in the umbilical vein?
___________________________________________________________ 23. Which drug can close the ductus arteriosus? Which drug can keep it open?
___________ ______________________________________________________________________________ 24. What adult structure is derived from the cavity in the embryonic metencephalon and myelencephalon?
) _________________________________________________________ 25. Neural tube defects are associated with low intake of what substance during pregnancy?
______________________________________________________________________________ 26. Neural tube defects are associated with elevated levels of what substance in amniotic fluid and maternal serum?
__________________________________________________________ 27. In the fetus, failure of the bony spinal canal to close (without structural herniation) will result in what type of neural tube defect?
__________________________________________________ 28. A _______________ is characterized by the meninges herniating through a spinal canal defect.
29. A _______________ is characterized by the meninges and spinal cord herniating though a spinal canal defect.