Embryology of the Gonads Flashcards

1
Q

what is the genetic sex determined by

A

sperm

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2
Q

what is the SRY

A

sex-determining region of the Y chromosome

it is a gene which initiates the production of testis determine factor

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3
Q

what happens if there is no chromosome Y in sperm

A

no Y = no TDF - female development commences

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4
Q

what is the reproductive and urinary system derived from

A

intermediate mesoderm
urogenital ridge
then into the two separate systems

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5
Q

what weeks do the male and female gonads differentiate

A

weeks 5-6

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6
Q

what specifically forms the primitive sex cords

A

epithelium covering the urogenital ridge proliferates and penetrates the underlying mesoderm

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7
Q

what happens in week six in forming the genitalia

A

primordial cells migrate to genital ridge

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8
Q

what does the indifferent gonad be split into

A

outer cortex and inner medulla

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9
Q

what is the fate of medullary and cortical region dependant on

A

TDF production

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10
Q

what are the difference in structures of developing male and female gonads
cortical cords
medullary cords
tunica albuginea

A

cc - develop in female but none in male
mc - develop in males but regress in females
ta - develop in males, no development tin females

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11
Q

what do the medullary cords in the testis turn into

A
rete testis (hilum) 
seminiferous tubules
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12
Q

what is the tunica albuginea

A

in the 4th month it is a connective tissue that develops around the testes

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13
Q

what happens to development of the ovary between 7th week and 5th month

A

medullary cords degenerate
surface epithelium continues to proliferate and produces second generation cords - cortical cords
cortical cords split and surround oocytes
all oocytes are present at birth

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14
Q

at what week is the male and female gonad distinguishable

A

week 7

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15
Q

describe the start of the descent of the testes from the posterior abdominal wall in weeks 7-12

A

extrabdominal gubernaculum shortens pulling testis towards the anterior abdominal wall where they arrive at the internal inguinal ring from 3rd to 7th month

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16
Q

what happens after 7 months of pregnancy to the descent of the testes

A

gubernaculum shortens again pulling them through inguinal canal of abdominal wall - aided by pressure of growing organs
testes reach scrotum by 9th month just before birth

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17
Q

what happens within the first year of fetal growth to the processes vaginalis

A

obliterates leaving a remnant round the testes known as the tunica vaginalis

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18
Q

what are the 3 muscles of the inguinal wall

A
transverses abdominus (and fascia ) 
internal / external oblique
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19
Q

what is the deep and superficial ring of the lingual canal

A

deep - entrance of inguinal canal and is located in transversals fascia
superficial - exit of inguinal canal and is located in external oblique

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20
Q

what are the coverings of the testes and where are they from

A

internally
internal spermatic fascia - from transversalis fascia
cremasteric fascia - from internal oblique muscle
external spermatic fasica - from external oblique muscle

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21
Q

what is a patent processes vaginalis and what are the clinical consequences

A

parts of the processes vaginalis may remain unfused leaving small cyst

cysts can produce fluid and swell - hydrocele
can be surgically removed

if the processes vaginalis remains open to abdominal cavity intestines may protrude through inguinal canal - indirect inguinal hernia

22
Q

what is transillumination in hydrocele

A

formed by clear fluid and therefore light can pass through it
if it were a hernia aor tumour light would be blocked by it

23
Q

what is cryptorchidism

A

affects 1-4% broths but most correct themselves at 3 months of age
undescended testicles - can be surgically corrected at 4-6 months

24
Q

what is cryptorchidism associated with

A

increased risk of testicular cancer and infertility

25
describe the descent of the ovaries
descend to pelvic brim gubernaculum passes through inguinal canal and inserts onto labia majora persists in adult as the ovarian ligament proper and the round ligament of the uterus
26
what is the development of the male genital ducts driven by
SRY gene
27
what does the SRY gene encode
testis determining factor
28
how do sertoli cells from
somatic support cells invest PGC's with SRY gene and differentiate into sertoli cells
29
what do sertoli cells do
secrete anti-mullerian hormone (AMH) - which causes degeneration of paramesonephric
30
what do sertoli cells cause differentiation of
mesoderm of the gonad into leading cells
31
what do leydig cells do
produce testosterone which promote maintenance and further development of the mesonephric ducts
32
what does the mesonphrenic duct develop into
efferent ductules epididymis vas deferent seminal vesicle
33
parts of the paramesenophenic duct persist as what
appendix testis | utriculus prostaticus
34
what happens in the absence of SRY
development of the genital ducts - no anti-mullerian hormone - paramesophric ducts remain no testosterone - mesonephric ducts degenerate
35
what do the three parts of the paramesonphric duct in females turn into
cranial and horizontal parts which become the uterine tubes | caudal parts fuse to from uterine canal
36
what remnants of the uterine duct persist
check photos epophoron paraophoron gartners cyst
37
what does the cloaca in women divide into
urogenital sinus and anus
38
how does the vagina form
urogenital sinus develops sinovaginal bulbs that fuse with caudal tips of paramesonphric ducts to from vagina
39
what are 3 common abnormalities of the uterus
failure of paramesonphric ducts to fuse failure of uterine septum to degenerate failure of one paramesonephirc duct to elongate
40
what percentage of woman have an abnormal uterus and what are the clinal consequences
1% of population - higher risk of miscarriage, premature delivery or dystocia (difficult birth)
41
describe persistent mullein duct syndrome
affects genetic males mutation in AMH gene no AMH production so parameonephric ducts persist so both mesonephric and paramesonephric duct derivatives develop normal male external genitalia but associated with crytorchodisim
42
what are the indifferent stages of external genitalia development
mesoderm cells migrate surrounding cloacal membrane forming elevated cloacal folds these unite to anteriorly to from genital tubercle ie either future penis or clitoris cloacal folds divide into anal and urethral division genital swellings appear next to urethral folds - which are future scrotum or labia
43
what is the development of male external genitalia dependant on
androgens
44
what does the genital tubercle elongate to form
phallus
45
which direction do genital swellings enlarge and move towards
caudally
46
describe the formation of the penal urethra
Urethral folds pulled forward and form lateral walls of the urethral groove Urethral groove is lined by epithelium and form urethral plate End of 3rd month - urethral folds close over urethral plate to form penile urethra
47
what is hypospadia
incomplete fusion of urethral folds - urethra opens on ventral surface of penis occurs in 3-5 out of 1000 births difficulty urinating can be repaired surgically using forsaken
48
what is epispadia
usually result of urethra oping on the dorsal surface of the penis 1 in 30,000 results from the improper location of the genital tubercle posterior to urogenital sinus - urethral groove located on dorsal surface of the penis
49
what is episadia commonly associated with
extrophy of the bladder
50
what is the development of the external female genitalia dependant on
estrogens
51
describe the formation of the external female genitalia
Genital tubercle elongates slightly to form clitoris Urethral folds do NOT fuse - form labia minora Genital swellings form labia majora Urogenital groove remains open
52
when can you start to tell the difference in fallus from male and female
from the 13th week | they are too similar for the first 12 weeks