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Anencephaly Wiki2Web Clarity Challenge

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Study Guide: Anencephaly: Etiology, Presentation, and Implications

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Anencephaly: Etiology, Presentation, and Implications Study Guide

Definition and Clinical Presentation

Anencephaly is a condition where the entire brain is absent, including the brain stem.

Answer: False

Explanation: Anencephaly is characterized by the absence of a major portion of the brain, skull, and scalp, typically involving the telencephalon. While the term implies a complete absence of the brain, infants with this condition often possess a brain stem.

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The telencephalon, responsible for higher cognitive functions, is usually absent in infants with anencephaly.

Answer: True

Explanation: The telencephalon, which encompasses the cerebrum and neocortex responsible for higher cognitive functions, is indeed typically absent in infants diagnosed with anencephaly.

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Babies with anencephaly are typically aware of their surroundings and can feel pain.

Answer: False

Explanation: Due to the absence of the cerebrum and neocortex, infants with anencephaly are generally unaware of their surroundings and cannot feel pain, although reflex actions may still occur.

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The Greek etymology of 'anencephaly' accurately reflects that the entire brain is always absent.

Answer: False

Explanation: While the Greek etymology means 'without a brain', this is a simplification. Infants with anencephaly typically lack the telencephalon but may possess a brain stem.

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The presence of a brain stem in an anencephalic infant allows for complex thought processes.

Answer: False

Explanation: While a brain stem may be present and support reflexes, it does not enable complex thought processes, which are functions of the absent cerebrum and neocortex.

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The primary symptoms listed in the infobox for anencephaly are the absence of the cerebrum and cerebellum.

Answer: True

Explanation: The infobox data indicates that the primary symptoms of anencephaly include the absence of the cerebrum and cerebellum, which are critical components of the brain.

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The classification of anencephaly as a 'cephalic disorder' indicates it affects the limbs.

Answer: False

Explanation: Classification as a 'cephalic disorder' indicates that anencephaly affects the head or brain, not the limbs.

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What is the primary characteristic of anencephaly?

Answer: Absence of a major portion of the brain, skull, and scalp.

Explanation: The defining characteristic of anencephaly is the absence of a significant portion of the brain, skull, and scalp, resulting from a failure in neural tube closure.

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Which major part of the brain is typically absent in an infant diagnosed with anencephaly?

Answer: Telencephalon

Explanation: The telencephalon, responsible for higher cognitive functions, is the major part of the brain typically absent in infants with anencephaly.

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Which of the following is a characteristic symptom of an anencephalic baby?

Answer: Deafness

Explanation: Infants with anencephaly are typically deaf, blind, and unaware of their surroundings due to the absence of developed sensory and cognitive brain structures.

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What does the presence of a brain stem allow an anencephalic infant to do?

Answer: Regulate basic reflex actions like breathing.

Explanation: While lacking higher brain structures, the presence of a brain stem in an anencephalic infant can support basic reflex actions, such as breathing and responses to stimuli.

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What is the primary function of the telencephalon, which is typically absent in anencephaly?

Answer: Mediating higher cognitive functions like thinking and awareness

Explanation: The telencephalon, which is absent in anencephaly, is primarily responsible for mediating higher cognitive functions, including thinking, learning, memory, and consciousness.

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The Greek etymology of 'anencephaly' ('an' + 'enkephalos') literally means:

Answer: Without a brain

Explanation: The Greek roots of the term 'anencephaly' (an- meaning 'without' and enkephalos meaning 'brain') literally translate to 'without a brain'.

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Etiology and Pathogenesis

The closure failure leading to anencephaly typically occurs in the later stages of the second trimester of pregnancy.

Answer: False

Explanation: The neural tube defect that results in anencephaly occurs very early in embryonic development, typically between the 23rd and 26th day after conception, not in the second trimester.

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Anencephaly is solely caused by environmental factors and has no known genetic component.

Answer: False

Explanation: Anencephaly is understood to have both genetic and environmental influences; it is not solely caused by environmental factors, as genetic predispositions are implicated.

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Meroanencephaly is a condition where the skull is fully formed but the brain is absent.

Answer: False

Explanation: Meroanencephaly is a variant of anencephaly characterized by malformed cranial bones and a protrusion called the area cerebrovasculosa, not a fully formed skull with an absent brain.

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Holoanencephaly is the rarest form of anencephaly, involving only minor brain malformations.

Answer: False

Explanation: Holoanencephaly is the most common type of anencephaly, characterized by the near-complete absence of the brain except for the brain stem, not minor malformations.

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Craniorachischisis involves defects extending from the skull into the spinal column.

Answer: True

Explanation: Craniorachischisis is defined by neural tube defects that encompass both the skull and the spinal column, representing the most severe form of anencephaly.

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The area cerebrovasculosa in meroanencephaly consists of normal brain tissue.

Answer: False

Explanation: The area cerebrovasculosa, a feature of meroanencephaly, is composed of abnormal, spongy vascular and glial tissue, not normal brain tissue.

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During which period does the neural tube defect leading to anencephaly typically occur?

Answer: Between the 23rd and 26th day after conception.

Explanation: The critical period for the neural tube defect leading to anencephaly is between the 23rd and 26th day after conception, during early embryonic development.

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What is the 'area cerebrovasculosa' found in meroanencephaly?

Answer: Abnormal, spongy vascular and glial tissue.

Explanation: The 'area cerebrovasculosa' is a protrusion consisting of abnormal, spongy vascular and glial tissue found in cases of meroanencephaly.

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Which form of anencephaly is considered the most severe, involving defects extending along the spine?

Answer: Craniorachischisis

Explanation: Craniorachischisis is defined by neural tube defects that encompass both the skull and the spinal column, representing the most severe form of anencephaly.

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What does the term 'holoanencephaly' refer to?

Answer: The most common type, with almost the entire brain absent except the brain stem.

Explanation: Holoanencephaly refers to the most common form of anencephaly, where the brain is almost entirely absent, with the exception of the brain stem.

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Prevention and Risk Factors

Taking folic acid supplements before conception can eliminate the risk of neural tube defects like anencephaly.

Answer: False

Explanation: While folic acid supplementation significantly reduces the risk of neural tube defects like anencephaly, it does not entirely eliminate the risk.

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Women should wait until they confirm pregnancy before starting folic acid intake to prevent neural tube defects.

Answer: False

Explanation: Women should begin taking folic acid before conception, as the neural tube closes very early in pregnancy, often before pregnancy is confirmed.

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A higher dose of folic acid (5 mg daily) is recommended for women who have previously had a child with a neural tube defect.

Answer: True

Explanation: For women with a history of having a child with a neural tube defect, a higher daily dose of folic acid (5 mg) is recommended to reduce the risk of recurrence.

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The risk of having another child with a neural tube defect is the same for all women, regardless of previous affected children.

Answer: False

Explanation: The risk of recurrence for neural tube defects is significantly higher (approximately 3%) for women who have previously had an affected child compared to the general population risk (approximately 0.1%).

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Maternal obesity is listed as a potential risk factor for neural tube defects.

Answer: True

Explanation: Maternal obesity is identified as one of the potential risk factors that can increase the likelihood of a neural tube defect occurring.

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Folic acid deficiency is identified as a secondary risk factor for anencephaly in the infobox.

Answer: False

Explanation: Folic acid deficiency is identified as the primary risk factor for anencephaly, not a secondary one.

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The recommended prevention strategy for anencephaly involves the father taking folic acid.

Answer: False

Explanation: The primary recommended prevention strategy for anencephaly involves the mother taking adequate folic acid, as it is crucial for early embryonic development.

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What is the recommended daily intake of folic acid for women of child-bearing age to help prevent neural tube defects?

Answer: 0.4 mg

Explanation: The recommended daily intake of folic acid for women of child-bearing age to help prevent neural tube defects is 0.4 mg.

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Why is it important for women to take folic acid *before* becoming pregnant?

Answer: The neural tube forms very early, often before pregnancy is confirmed.

Explanation: Folic acid supplementation is crucial before pregnancy because the neural tube, the precursor to the central nervous system, forms and closes very early in gestation, frequently before a pregnancy is clinically recognized.

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After having one child with a neural tube defect, what is the approximate risk for a woman to have another affected child?

Answer: 3%

Explanation: Following a previous affected child, the risk for a woman to have another child with a neural tube defect increases to approximately 3%.

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Besides genetic factors, what maternal condition is mentioned as a risk factor for neural tube defects?

Answer: Maternal obesity

Explanation: Maternal obesity is cited as a significant risk factor for neural tube defects, in addition to other factors like certain medications and maternal health conditions.

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Which of the following is NOT listed as a risk factor for neural tube defects in the source?

Answer: Maternal consumption of excessive alcohol

Explanation: While other factors like anticonvulsant medications, diabetes, and folic acid deficiency are listed as risk factors, maternal consumption of excessive alcohol is not explicitly mentioned in the provided source material as a risk factor for neural tube defects.

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The investigation into the Brownsville, Texas cluster identified which factor as having a protective effect against neural tube defects?

Answer: Increased dietary folate intake

Explanation: The Brownsville, Texas cluster investigation indicated that increasing dietary folate intake had a protective effect against neural tube defects.

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Prognosis and Management

Infants born with anencephaly generally have a good prognosis and can live for many years with medical support.

Answer: False

Explanation: Infants born with anencephaly have an extremely poor prognosis and typically survive only for a few hours or days after birth, as the condition is incompatible with prolonged life.

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Ultrasound is not a reliable method for diagnosing anencephaly before birth.

Answer: False

Explanation: Ultrasound examination is a primary and reliable method for the prenatal diagnosis of anencephaly and other neural tube defects.

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There is a standard medical treatment that can cure anencephaly.

Answer: False

Explanation: Anencephaly is a fatal condition for which there is currently no cure or standard medical treatment.

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The image showing an anencephalic baby at two years of age demonstrates long-term survival.

Answer: False

Explanation: Images depicting an anencephalic baby at advanced ages like two years would contradict the typical prognosis of survival for only hours or days, suggesting the image may not accurately represent typical long-term survival.

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The typical survival duration for infants with anencephaly is measured in weeks or months.

Answer: False

Explanation: Infants with anencephaly typically survive only for a few hours or days after birth, not weeks or months.

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What is the usual survival time for infants born with anencephaly?

Answer: A few hours or days

Explanation: The prognosis for infants born with anencephaly is extremely poor, with survival typically limited to a few hours or days post-birth.

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Which diagnostic tool is primarily used for prenatal detection of anencephaly?

Answer: Ultrasound examination

Explanation: Ultrasound examination is the primary diagnostic tool employed for the prenatal detection of anencephaly and other neural tube defects.

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What is the current status of treatment options for anencephaly?

Answer: There is no cure or standard medical treatment.

Explanation: Currently, there is no known cure or established medical treatment for anencephaly; care focuses on supportive measures given the condition's fatal nature.

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Genetic and Biological Aspects

Anencephaly is classified as a genetic disorder related to dysfunctional cellular cilia.

Answer: True

Explanation: Anencephaly is increasingly classified as a ciliopathy, a group of genetic disorders arising from dysfunctional cellular cilia, which play critical roles in developmental signaling.

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Research involving the CART1 gene in mice showed that its deficiency leads to acrania and meroanencephaly.

Answer: True

Explanation: Studies involving the CART1 gene in mouse models have demonstrated that its deficiency can result in acrania and meroanencephaly, providing insights into potential genetic mechanisms.

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Which of the following is identified as a potential genetic cause or factor implicated in anencephaly?

Answer: Deficiency in the TEAD2 transcription factor

Explanation: Research suggests that deficiencies in the TEAD2 transcription factor may be implicated as a potential genetic factor contributing to anencephaly.

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Anencephaly is considered a type of which broader category of genetic disorders?

Answer: Ciliopathies

Explanation: Anencephaly is categorized within the broader group of genetic disorders known as ciliopathies, which result from defects in cellular cilia.

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The text mentions anencephaly following patterns of 'autosomal recessive inheritance'. What does this imply?

Answer: It requires inheriting a specific gene variant from both parents.

Explanation: Autosomal recessive inheritance implies that an individual must inherit a specific gene variant from both parents to manifest the condition.

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Which of the following is listed as another known ciliopathy besides anencephaly?

Answer: Bardet-Biedl syndrome

Explanation: Bardet-Biedl syndrome is listed as another example of a ciliopathy, a class of genetic disorders linked to dysfunctional cellular cilia, similar to anencephaly.

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