Embryology Flashcards

1
Q

What occurs in gastrulation

A

The embryo forms 3 layers

Called the trilaminar disc

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2
Q

When does gastrulation occur

A

Week 3 of gestation

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3
Q

Where is the urogenital system derived from

A

The intermediate mesoderm

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4
Q

How are the endoderm and mesoderm formed

A

Invagination of epiblast cells through the primitive streak

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5
Q

How does cranial-caudal folding affect the embryo

A

It rolls up like a scroll from each end to give the foetal position

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6
Q

Describe the function of the pronephros, mesonephros and metanephros

A

The pronephric system will eventually disappear – doesn’t function in humans
Mesonephros is not the end kidney but does have some functional capability in the foetus – some urine production
Metanephric system is the end kidney

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7
Q

Where do the excretory ducts of the forming UG system enter

A

They join with the cloaca to eventually form an output

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8
Q

Which cells will go on to form gametes

A

Primordial germ cells

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9
Q

Describe the progression of the primordial germ cells

A

They form in the yok sac
They work their way into the embryo into the developing gonads (intermediate mesoderm)
When they get in, they stimulate epithelium to start proliferating – forms a gonadal/genital ridge
The proliferating epithelium will form somatic support cells which envelop to the germ cells
These support cells will eventually become the follicular cells or Sertoli cells

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10
Q

Which two ducts form the urogenital system

A

Mesonephric (Wollfian) duct

Paramesonephric (Mullerian) duct

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11
Q

Where is the mesonephric duct found

A

Connects to the posterior wall of the urogenital sinus and the cloaca
Joins the paramesonephric duct at the urogenital sinus

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12
Q

Where is the paramesonephric duct found

A

It is blindly open at the top and opens into the peritoneal cavity
Joins the mesonephric duct at the urogenital sinus at the caudal end of the foetus

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13
Q

When does sexual differentiation occur

A

From week 7 of gestation onwards

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14
Q

What triggers the differentiation into a male

A

The presence of the SRY protein transcription factor

This is the sex determining region of the Y chromosome

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15
Q

Describe the effect of SRY on the early gonads

A

Triggers the somatic support cells to become Sertoli cells and they form medullary cords
These cords engulf the PGCs
Rete testis connect the mesonephric tubules to the testis cords

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16
Q

What happens to the paramesonephric duct in males

A

It disappears

Sertoli cells secrete anti-Mullerian hormone to cause the degeneration of the paramesonephric duct

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17
Q

How is testosterone production started in the early male

A

The Sertoli cells stimulate the formation of Leydig cells which secrete testosterone

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18
Q

What is the role of testosterone in the developing male gonads

A

influences the mesonephric duct to form the structures of the male repro system – epididymis , vas deferens etc

Dihydrotestosterone (DHT) is more potent and stimulates formation of external genitalia

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19
Q

What is persistent Mullerian duct syndrome

A

When part of the female reproductive tract is present in a biological male
Due to a failure of the anti-Mullerian hormone or its receptors
The paramesonephric duct doesn’t regress

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20
Q

What is cryptorchidism

A

Failure of descent of one or both testes

21
Q

Where do the testes originate

A

Level of T10 on the abdominal wall

22
Q

How do the testes move down to the scrotum

A

Tissue called the gubernaculum shortens and pulls the testes down and through the body wall
Should be in scrotum by birth - sitting high up

23
Q

What is the vaginal process in men and its significance

A

Vaginal process is a small pocket in front of the descending testes
It should close off and form a space that allows for testicular movement
If it stays open you are at increased risk of inguinal hernias

24
Q

How do the seminal vesicles develop

A

They are outpouchings of the mesonephric ducts

25
Q

How do the bulbourethral glands and prostate develop

A

Form from endodermal invaginations from the urethra

26
Q

What triggers the embryo to develop into a female

A

The absence of SRY transcription factor = no Y chromosome

27
Q

How are the ovaries formed

A

Germ cells differentiate into oogonia and then into primary oocytes.
Somatic support cells differentiate into granulosa cells and surround the primary oocytes.
This forms primordial follicles in the ovary.

28
Q

What does the paramesonephric duct go on to form in females

A

Uterine tubes
Uterus
Superior vagina

29
Q

What is the role of oestrogen in the early development of a female foetus

A

Stimulates the formation of the external female genitalia and the development of the paramesonephric ducts

30
Q

How do the paramesonephric ducts form the uterine cavity

A

Ducts from each side fuse together
The bits that are touching (middle) will regress to form the bigger cavity
Still have an independent uterine tube coming from either side

31
Q

Describe the hymen

A

Thin tissue that closes off the vaginal opening

At birth there are little holes in the hymen and it degrades with activity

32
Q

How does the uterus connect to the vagina

A

Forms a tubercle when it meets the urogenital sinus

Starts to elongate and forms a plate with sinovaginal bulbs

33
Q

What can happen if the paramesonephric ducts don’t join properly

A

Double uterus/vagina if they completely fail to meet
Double uterus – they have come together at the bottom (one vagina) but middle of cavity hasn’t regressed so get 2 uteruses

34
Q

What is cervical atresia

A

Where the uterus and vagina are not connected

Cannot get fertilisation with cervical atresia as there is no way for sperm to meet eggs

35
Q

What causes hypospadias

A

Malfunctioning in the zipping mechanism on the ventral surface (underneath) of the penis
The urethral groove doesn’t close up properly leading to the outlet being in an abnormal place

36
Q

What is hypospadias

A

When the urethral opening lies in an abnormal position on the penis
Usually underneath (ventral surface)
Comes in various severity - on glans, shaft or even scrotum
Can be fixed surgically

37
Q

How do the external genitalia develop - prior to sex differentiation

A

The cloaca forms a general outlet
Septum (from mesenchyme) splits the cloacal area into a urogenital sinus and anorectal sinus
Separates anus from the UG system
Mesenchymal cells at the top of the urogenital sinus proliferate and form the genital tubercle

38
Q

What does the genital tubercle go on to form in males and females

A

Males - penis

Females - clitoris

39
Q

How does the penis form

A

Growth of th genital tubercle
The urethral groove starts to ‘zip up’ towards the tip of the phallus - forms the spongy urethra
should have a outlet on the glans
A circular ingrowth of ectoderm around the glans forms the foreskin

40
Q

What is meant by monozygotic twins

A

Develop from one egg and therefore will be identical

41
Q

What is meant by dizygotic twins

A

Develop from two eggs and therefore will be non-identical

42
Q

What is the most common subtype of monozygotic twins

A

Dichorionic

43
Q

What are dichorionic monozygotic twins

A

Twins which develop from the same egg but cleavage occurs before implantation
Each twin has it’s own placenta

44
Q

What are monochorionic diamniotic twins

A

Twins which develop from the same egg (monozygotic) but cleavage occurs between day 6-8
The twins share a placenta but have separate amniotic sacs

45
Q

What are monoamniotic twins

A

Twins which develop from the same egg (monozygotic) but cleavage occurs after day 8
The twins share an amniotic sac

46
Q

In the development of twins, what is the latest form of cleavage

A

Conjoined twins - separate very late

Rarest form

47
Q

List risk factors for dizygotic twins

A
Aged 35-40,
Family history
Previous multiple birth
High BMI
Smoking
Summer and autumn conceptions.
induced ovulation and in-vitro fertilisation
race e.g. Afro-Caribbean
48
Q

Monoamniotic monozygotic twins are associated with which poor outcomes

A

ncreased spontaneous miscarriage, perinatal mortality rate
increased malformations, IUGR, prematurity
twin-to-twin transfusions: recipient is larger with polyhydramnios