B8-002 Development of Reproductive System Flashcards
germ cells arise in week 2 from the
epiblasts
primordial germ cells migrate to the […] in weeks 3 and 4
yolk sac
(this keeps them separate from everything else as it is differentiating)
44 XO
Turner syndrome
47 XXX
triple X syndrome
45 YO
lethal
47 XXY
klinefelters
tall
normal puberty/fertility
may have lower IQ
increased risk of psychotic disorders
triple X syndrome
short stature
widely spaced nipples
cardiac abnormalities
primary hypogonadism
turner syndrome
micropenis
cryptorchidism
gynecomastia
small testes
primary hypogonadism
klinefelter’s
tall
puberty/fertility normal
lower IQ
increased risk of hyperactivity/autism disorders/acne
jacob syndrome
doubleY syndrome
gene important for sex differentiation
responsible for tests determining factor (TDF)
SRY gene
SRY gene results in […] phenotype
male
[…] duct gives rise to internal male genitalia
mesonepheric
[…] duct gives rise to internal female genitalia
paramesonepheric
leydig cells and thecal cells arise from
intermediate mesoderm
sertoli cells and follicle cells arise from
coelomic epithelium
presence of SRY gene activates […] and […] cells and ultimately leads to the formation of male external genitalia
leydig (mesonepheric ducts persist)
sertoli (paramesonepheric ducts degenerate)
absence of SRY gene activates […] and […] cells and ultimately leads to the formation of female external genitalia
thecal (mesonepheric duct degenerates)
follical (paramesonepheric persists)
when SRY is present, leydig cells produce […] which allows for mesonepheric duct to persist
testosterone
when SRY is present, sertoli cells produce […] which allows for paramesonepheric duct to degenerate
AMH
if SRY is present, but not enough AMH is produced, what will be the result?
male external genitalia
both male and female internal genitalia
if SRY is present, a 5a-reductase deficiency will result in
male internal genitalia
female or ambiguous external genitalia until puberty
(inability to convert testosterone to DHT)
female and male gonad development occurs during week
5
(indifferent stage)
in the absence of SRY, the coelomic epithelium will form [2]
primordial follicles
granulosa cells
in the absence of SRY, the intermediate mesoderm will form
thecal cells
in the presence of SRY, the coelomic epithelium will form [2]
seminiferous cords
sertoli cells
in the presence of SRY, the intermediate mesoderm will form [2]
leydig cells
tunica albuginea
gonads form on the […], then descend into the pelvis
posterior abdominal wall
differentiation of the male duct system occurs during week […]
6-7
sertoli cells secrete AMH, causing degeneration of the […] duct
paramesonephric
leydig cells secrete testosterone allowing for retention of the […] duct
mesonephric
mesonephric duct is remodeled into [4]
seminal vesicle
epididymis
ejaculatory duct
ductus deferens
SEED
appendix testis and prostatic utricle are remnants of
paramesonephric duct
the top part of the paramesonepheric duct gives rise to the
fallopian tube
the bottom part of the paramesonepheric duct gives rise to the […] primordium
uterovaginal primordium
uterovaginal primordium projects to the […] which produces the sinus tubercle
urogenital sinus (bladder)
form on the anterior lateral vagina
usually asymptomatic
remnant of mesonepheric duct
gartner’s cyst
sinus tubercle induces the formation of […], future hymen
sinovaginal bulbs
fuse to form the vaginal plate
sinovaginal bulbs
vaginal plate endoderm proliferates and cannulates, forming the
vagina
distal vagina and hymen arise from what germ layer?
endoderm
proximal vagina and uterus arise from […] duct
paramesonepheric ducts
no fusion of paramesonepheric ducts results in
uterus didelphys with double vagina
some fusion, but lack of complete fusion of the paramesonepheric ducts results in [2]
uterus arcuatus
uterus bicornis (more severe septum)
1 of the paramesonepheric ducts did not fuse and/or it atrophied
uterus bicornis unicollis
if the caudal end of paramesonepheric ducts atrophys, what is the result?
cervical atresia
problem with sinovaginal bulbs/endoderm results in
vaginal atresia
[…] grows toward the cloacal membrane and divides it, forming the perineal body (central tendon)
urorectal septum
rectoprostatic urethral fistula
rectourethral fistual
rectocloacal canal
rectovaginal fistula
are all complication that can result from
abnormal migration of the urorectal septum
allantois turns into […], which turns into […] in adults
urachus
median umbilical ligament
urine coming out of umbilicus indicates
urachal fistula
if you have BPH and have a lot of urinary pressure in the bladder, this allantois abnormality can reopen
urachal sinus
allantois abnormality that is usually asymptomatic, often found postmortem
urachal cyst
bladder is derived from
hindgut endoderm
ureters are derived from
mesonephric and metanephric ducts
(mesoderm)
trigone is derived from
mesoderm
via mesonepheric duct
detrusor muscle arises from
mesoderm
the prostate is largely derived from
endoderm
(smooth muscle and connective tissue from splanchic mesoderm)
the bulbourethral gland is largely derived from
endoderm
(smooth muscle and connective tissue from splanchic mesoderm)
vas deferens, seminal vesicle, and ejaculatory duct arise from what germ layer?
mesoderm
problem with mesoderm and cloacal membrane
causing defect closure of the bladder wall
exstrophy of bladder
(she specifically said to know it is a problem with mesoderm and cloacal membrane)
epispadias is caused by improper location of the […] and migration of the […] caudal to the cloacal membrane
genital tubercles
mesoderm
opening of urethra on dorsum of penis
epispadias
differentiation of external genitalia due to appropriate hormone influence occurs during week
9
formation of external genitalia is usually complete by week
12
(on embryonic calendar. on obstetric calendar this would be week 14)
genital tubercle gives rise to […] in male
glans penis
genital tubercle gives rise to […] in females
clitoris
urethral (urogenital) folds gives rise to […] in females
frenulum of labia minora
urethral (urogenital) folds gives rise to […] in males [3]
lateral walls of urethra
spongy urethra
penile raphe
labioscrotal swellings gives rise to […] in females [2]
labium majus
mons pubis
labioscrotal swellings gives rise to […] in males
scrotum
spongy urethra and […] need to align to complete the formation of the spongy urethra
navicular fossa
(endoderm and ectoderm come together)
navicular fossa = opening of glans penis
urethral opening on ventral penis
hypospadias
what is the cause of hypospadias
urethral (urogenital) folds did not come together properly, left an opening
penoscrotal hypospadias is due to an issue with what structure?
labioscrotal swellings
cranial part of the gubernaculum in females gives rise to
ovarian ligament
structure that helps ovary/testicle descend from the posterior abdominal wall
gubernaculum
caudal part of the gubernaculum in females gives rise to
round ligament
fusion of the paramesonephric ducts along the peritoneal fold in females forms the
broad ligament
ligament that separates the pelvic cavity into the rectouterine pouch and vesico-uterine pouch
broad ligament
gives rise to the proximal 1/3 of the vagina
paramesonepheric duct
gives rise to distal 2/3 of the vagina
urogenital sinus
in females, the mesonepheric duct […] and paramesonepheric duct […]
in females, the mesonepheric duct degenerates and paramesonepheric duct develops
[…] gene on Y chromosome produces testis determining factor –> testes development
SRY
sertoli cells secrete […] that suppresses development of the paramesonepheric ducts
AMH
male remnant of the paramesonepheric duct
appendix testis
in females, the paramesonepheric duct develops into what structures? [3]
fallopian tubes
uterus
proximal vagina
in males, the mesonepheric duct develops into what structures? [4]
Seminal vesicles
Epididymis
Ejaculatory duct
Ductus deferens
SEED
female remnant of the mesonepheric duct is
gartner duct
during sexual differentiation, absence of sertoli cells or lack of AMH would cause the development of
both male and female internal genitalia
male external genitalia
during sexual differentiation, 5a-reductase deficiency would cause the development of
male internal genitalia
atypical external genitalia until puberty
due to inability to convert T to DHT
incomplete fusion of the Mullerian ducts causes […] uterus
bicornuate
complete failure of fusion of the Mullerian ducts causes […]
uterus didelphy
double uterus, cervix, and vagina
incomplete resorption of the uterine septum causes
septate uterus
the urogenital sinus gives rise to [5]
bladder
allantois
bulbourethral glands
prostate
urethra
the paramesonepheric ducts give rise to [3]
uterine tubes
uterus
cervix
sinus tubercle –> sinovaginal bulb forms the […]
vagina