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BMS3031 - Molecular mechanisms of disease - S1 2026

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In the graph below each symbol represents a distinct district or borough. What does the data in the figure above indicate?

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Accurate chromosome segregation during meiosis relies on the

integrity of the meiotic spindle and the presence of cohesin proteins that hold

sister chromatids together. Age‑related deterioration of these

mechanisms is a major contributor to aneuploidy in human oocytes.

Which of the following changes is most likely to

cause chromosomal misalignment during meiosis?

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Human oocytes initiate meiosis during fetal life and arrest

for decades before completing cell division. This prolonged arrest underlies

the maternal‑age–related

increase in aneuploidy observed in human embryos.

Which statement best reflects the timing and regulation of

meiotic divisions in human oocytes?

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What does the graph below indicate about the success of IVF cycles?

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Fetuses affected by chronic placental insufficiency often

exhibit “brain‑sparing” blood flow

redistribution. MRI studies in late gestation and early postnatal life,

however, demonstrate altered neural connectivity and tissue composition

compared with appropriately grown peers.

Which outcome most accurately reflects the

neurological impact of fetal growth restriction despite adaptive redistribution

of blood flow?

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A fetus is referred for further assessment after third‑trimester

ultrasound suggests abnormal sulcation patterns, but acoustic shadowing from

the maternal pelvis limits visualization. Doppler studies and biometric

measurements are otherwise reassuring. The clinician considers whether an

alternative imaging modality would provide clinically meaningful additional

information.

In this context, ultrasound assessment is most

clearly surpassed by fetal MRI in evaluating which aspect of fetal development?

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A growth‑restricted fetus demonstrates

abnormal uterine artery Doppler flow and reduced placental transport surface

area on post‑delivery histology. Despite adequate maternal nutrition

and absence of fetal genetic abnormalities, fetal growth remains compromised.

Which statement best captures the causal

relationship between fetal growth restriction and placental insufficiency in

this scenario?

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Several prenatal tests are available to evaluate fetal

genetic and developmental status. Some rely on placental or maternal proxies,

while others sample compartments containing products of fetal metabolism or

excretion. The distinction becomes especially important when mosaicism or

confined placental abnormalities are suspected.

Which of the following procedures most directly assesses a

developing fetus?

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What does the graph below indicate about nephron number and birth weight?

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In the graph above P = protein, C = carbohydrates and F = fat. This data comes from a study on rats that were subjected to fetal growth restriction. 

Pregnant mice were fed one of the two diets, indicated in the diagram above, and the nephron number in the kidneys of their offspring was determined. What can we conclude about the impact of the maternal diet on the nephron number of the rat offspring?

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