Embryology Flashcards

1
Q

What happens in weeks 1 and 2 of gestation?

A

Blastocyst forming and implanting in the uterus, starts to form 3-layered embryo

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2
Q

What happens in week 3 of gestation?

A

Gastrulation
Neurulation
Somite formation

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3
Q

What happens in weeks 4-8 of gestation?

A

Organogenetic period

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4
Q

What happens from week 9 onwards of gestation?

A

Maturation of organ systems

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5
Q

What is the timeline of reproductive system organogenesis?

A

Reproductive system organogenesis occurs beyond 8 weeks and beyond the post-natal period, it is not complete when the child is born

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6
Q

What are the 3 initial sets of kidneys that develop in gestation?

A

Pronephros - first rudimentary kidney
Mesonephros - briefly functional kidney with ducts and primitive urethra
Metanephros - functional, in pelvic region

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7
Q

What does the cloaca divide to form?

A

Rectum and urogenital sinus

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8
Q

What does the mesonephric duct drain into?

A

Urogenital sinus

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9
Q

What does the urogenital sinus form later in development?

A

Urinary bladder, caudal end forms urethra

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10
Q

The epithelium of the mesonephros invaginates to form

A

a tube which then becomes the paramesonephric duct

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11
Q

What does the paramesonephric duct develop lateral to in development?

A

Developing gonads and mesonephric duct

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12
Q

Where does the cranial end of the paramesonephric duct open?

A

Into the peritoneal cavity

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13
Q

What happens to the mesonephros at week 6 of development?

A

Forms a long ovoid structure in association with the thoracic and upper lumbar vertebrae

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14
Q

The medial part of the mesonephric ridge thickens to form

A

a genital/gonadal ridge

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15
Q

At week 6, germ cells migrate from the yolk sax via the

A

dorsal mesentery, and embed into the primitive sex cords

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16
Q

What are the primitive sex cords formed from?

A

Mesenchyme of genital ridges

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17
Q

What is the indifferent gonad?

A

A gonad that has not developed into a definitive ovary or testis, there is no migration of germ cells at this stage and so no true gonads

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18
Q

What primitive structures are needed to form the reproductive system?

A
Indifferent gonad 
Mesonephric duct (disappears in females)
Paramesonephric duct (disappears in males)
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19
Q

What happens to the indifferent gonad, mesonephric duct, paramesonephric duct and urogenital sinus in males?

A

Gonad forms testis
Mesonephric duct develops into the epididymis, vas deferens and seminal vesicle
Paramesonephric duct degenerates
Urogenital sinus forms bladder, urethra and prostate

20
Q

In the early stages of development, what is the only difference between the male and female embryo?

A

XY compared to XX

21
Q

What makes the indifferent gonad develop into a testis?

A

SRY on the sex-determining region of the Y chromosome encodes a protein called TDF (testis determining factor) which makes indifferent gonad develop into a testis

22
Q

What cells express the SRY gene?

A

Primordial sex cells within he sex cords of the indifferent gonad

23
Q

What do Sertoli cells secrete?

A

Mullerian Inhibiting Substance (MIS)

24
Q

What does MIS cause?

A

Paramesonephric duct to degenerate so only mesonephric duct remains
Also transorms mesenchymal cells between sex cords into Leydig cells which produce testosterone

25
At what week of gestation does TDF stimulate the primary sex cords to extend into the medulla?
Week 7
26
What gives rise to the interstitial cells of Leydig?
Mesenchyme between sex cords
27
Male external genitalia is formed under the influence of what?
Testosterone
28
In females, what happens to the indifferent gonad, mesonephric duct, paramesonephric duct and urogenital sinus?
Gonad forms ovary Mesonephric duct degenerates Paramesonephric duct forms Fallopian tube, uterus and cervix Urogenital sinus forms bladder and lower part of vagina
29
Why do females not express TDF?
Two X chromosomes so no SRY region (on Y chromosome) and no TDF
30
How do the primordial follicles form?
Primordial germ cells bud off with a single surrounding layer of cortical cord cells
31
How are additional follicles formed, once primordial follicles are formed?
Active mitosis of the primordial follicles
32
By what month of development have all follicles formed?
7
33
In what phase of meiosis are oocytes arrested in?
Prophase (first meiotic division)
34
How many primordial follicles are present at birth?
2 million
35
After puberty, how many follicles per cycle are developed?
12-15 follicles per 28 day cycle
36
What causes the degeneration of the mesonephros and mesonephric duct?
Absence of testosterone
37
What do the cranial and caudal ends of the paramesonephric duct become?
Cranial end becomes associated with the ovary | Caudal end becomes uterus and superior part of vagina
38
In what region are gonads initially formed? What does this mean as development takes place?
Initially form in lumbar region | Positional changes occur as development takes place
39
Where do the gonads descend to in the male and female?
Descend out of the abdomen through inguinal canal to the scrotum in males Descend to pelvis in females
40
What is the level of the testis at week 7 and week 12 of development?
Week 7 - level of T10 | Week 12 - level of deep inguinal ring
41
What is the level of the ovary at week 7 and week 12 of development?
Week 7 - level of T10 | Week 12 - broad ligament
42
What aspects of development are linked to the descent of the gonads?
Male - formation of the larger inguinal canal | Female - presence of round ligament and its passage through the inguinal canal
43
What is cryptorchidism?
Absence of one or both of the testes from the scrotum
44
What are the complications of cryptorchidism?
Infertility Malignant transformation Testicular torsion
45
What is the treatment of cryptorchidism?
Orchiopexy
46
What are the complications of remnants of the mesonephric duct in females?
Remnants can collect fluid which can compress the ovary (causing infertility) or interfere with implantation or childbirth