GA1 - Male Reproductive System Flashcards
reproductive organs or gonads of the males is the ____
testis
testis originate in the ___ ___
intermediate mesoderm
testis come from the ____ abdominal wall
psoterior
3 layers to the spermatic cord
internal spermatic fascia
cremasteric fascia
external spermatic fascia
internal spermatic fascia comes from the ___ ___
transversalis fascia
cremasteric fascia comes from ___ ___ ___
internal oblique muscle
external spermatic fascia come from the aponeurosis of ___ ____ ____
external oblique muscle
contents of the spermatic cord
ductus deferens testicualar a and v genital branch of genitofemoral nerve deferential a and v cremasteric a lymphatics and autonomic nerves
nerve plexus of the scrotum
pampiniform
scrotum is a ____ pouch
cutaneous
scrotum contains ___ and the ___ ___
testes
spermatic cords
skin of the scrotum is ___ (___) and covered with ___ hairs
rugose (wrinkled)
sparse
the scrotum is divided internally into ___ separate chambers marked externally by the ___ ____
two
perineal raphe
5 layers of the scrotum
skin dartos colles' fascia spermatic fascia - cremaster muscle tunica vaginalis
tunica vaginalis from ___ ___ that lines the ___ ___
parietal peritoneum
scrotal cavity
3 arteries that supply the scrotum
internal pudendal
external pudendal
cremasteric
internal pudendal a is a branch of the ___ ___
internal iliac
external pudendal artery is a branch of the ___
femoral
cremasteric artery is a branch of the ___ artery
testicular
4 nerves that supply the scrotum
ilioinguinal
genital branch of the genitofemoral
perineal nn
Post Femoral Cutaneous nerve
cremasteric reflex
stroke inside of leg
elephantiasis
protozoal infection
affecting lymphatic vessels obstructing them
varicocele
enlarged veins in scrotum
bag of worms
hydrocele
fluid accumulation in tunica vaginalis testis
shine light - luminous
hematocele
blood accumulation
inguinal hernia
finger test
indirect - side of the finger
direct - tip of the finger
testes are ___ oval bodies located in the ____
paired
scrotum
testes - ___cm long, __cm wide and __cm thick
4-5
3
2
testes are ___ covered by a ___ membrane called the ___ ____
partially
serous
tunica vaginalis
internal to the tunica vaginalis, the testis is covered completely by a dense white fibrous capsule called the ____ ___
tunica albuginea
function of the testes
production of sperm by the seminiferous tubules
secretion of testosterone by the interstitial cells
2 hormones that stimulate the testes
LH (ICHS)
FSH
LH stimulates ___ __ to produce ____
interstitial cells
testosterone
FSH is from the ___ to stimulate ___
pituitary
spermatogenesis
blood supply to the testes through the ___ artery
testicular
testicular artery just off the __ __ just before the renal artery
abdominal aorta
nerve supply to the testes
testicular plexus
T10
cryptorchidism
hidden testes failure of testes to descent inject ACG or testosterone surgery there would be sterilization bc its too warm in the abdominal cavity predisposed to testicular cancer
testicular cancer
HCG and AFP
testes to not descend
testicular torsion
can be moveable
should be a ligament
if ligament is too loose it twists
blood supply can ____
2 muscles keep scrotum toward the body
dartos
cremasteric
4 parts to the male reproductive tract
epididymis
ductus deferens
ejaculatory ducts
urethra
epididymis is a ___-shaped structure about ___in long curved over the back and upper end of the testes
comma
1.5
epididymis is an irregularly ___ tube ___-___ft long when straightened
twisted
15-20
functions of the epididymis
monitors and adjusts the composition of the tubular fluid
site of sperm maturation
storage of sperm
helps in propelling sperm cells toward the urethra
acts a recycling center for damaged spermatozoa
vas deferens is a thick ___ tube, __in long
mucular
18
vas deferens arises from the __ of the epididymis and passes through the ___ ___
tail
inguinal canal
vas deferens emerges through the ___ inguinal ring, enters the __ ___, goes towards the __ surface of the urinary bladder
deep
pelvic cavity
posterior
vas deferens ends as a dilated portion called the ___, the ___ end of which joins the duct of the ___ vesicle to form the ___ ejaculatory duct
ampulla
inferior
seminal
ejaculatory
fxn of the vas deferens
convey mature sperm from the epididymis to the ejaculatory duct
___ ejaculatory duct formed by the union of the ___ ___ and the duct of the ___ vesicle’ about __cm in length
two
vas deferens
seminal
2
ejaculatory ducts pierce the ___ surface of the prostate and open into the ____ urethra
prostate
prostatic
function of the ejaculatory ducts
drains seminal fluid into the prostatic urethra
3 parts of the urethra
prostatic
membranous
penile
prostatic urethra is surrounded by ____
prostate
when the prostate is enlarged it can cause a ___ of urethra/urinary retention
constriction
4 accessory glands
seminal vesicles
prostate gland
bulbourethral glands (cowper’s)
urethral glands (glands of littre)
seminal vesicles are two ___ organs about __ in long
lobulated
2
semiinal vesicles lie on the ___ surface of the urinary bladder
posterior
lateral to the seminal vesicles is the ___ of vas deferens
ampulla
function of the seminal vesicles
secrete an alkaline, viscous fluid that contains the sugar fructose, prostaglandins, and clotting proteins
alkaline neutralizes the _____ and ____ ___ ___
urethra
female genital tract
sugar fructose from seminal vesicles is the ___ of the sperm
nutrition
prostaglandins from seminal vesicles stimulate ___ ___ ___
female genital tract
seminal vesicles secrete ___% of the colume of semen
60
prostate secretes __-__% of seminal fluid
20-30
prostate is a ____ glandular oran shaped like an inverted ___, ___in long
fibromuscular
cone
1.25
prostate is about the size of a ___
chestnut
prostate lies between the ___ of the bladder and the ____ diaphragm
neck
urogenital
superior to the prostate is the ___ of the bladder
neck
inferior to the prostate is the ___ ___
urogenital diaphragm
anterior to the prostate is the ___ ___
symphysis pubis
posterior to the prostate is the ___ ___
rectal ampulla
lateral to the prostate is the ___ __
levator ani
homologue to the vagina is the ____ ___
prostatic urticle
dilated portion of the prostate ___ ___
seminal colliculus
prostate produces a ___ slightly __ fluid
milky
acidic
prostatic fluid contains (4 things)
citric acid
acid phosphatase
PSA
proteolytic enzymes
proteolytic enzymes of the prostate fxn
break down the mucous plug of cervix
prostate secretes ___-___% of volume of semen
20-30
prostate also secretes ____ that has ___ properties
seminalplasmin
antibiotic
prostate enlarges in size from __ to ___, then stops; starts to grow again until age ___
birth to puberty
45
blood supply to the prostate by 2 arteries
inferior vesicle
middle rectal
inferior vesicle artery from ___ ___
internal iliac
middle rectal artery from ___ ___
superior mesenteric
venous drainage of the prostate
prostatic venous plexus
prostatic venous plexus communicates with ___ ___ venous plexus in ___ space
internal vertebral
nerve supply to the prostate
inferior hypogastric plexus
benign prostatic hypertrophy (BPH)
enlargement
alpha adrenergic blockers for BPH can help to ___ smooth muscles
relax
finasteride are ___ inhibiters
testosterone
___ can differentiate between BPH and prostatic cancer
DRE
when a patient has prostatic cance, ACS recommends ___ examinations of the prostate by _____
annual
DRE
males over 50, an annual ___ test is recommended
PSA
prostatitis
inflammation of the prostate
gonococcal
ghonnorhea
prostatitis
chlamydia
most common cause for STD
prostatitis
4 things to prevent prostatic cancer
have sex regularly
lie down at the beach
eat marinara sauce
drink red wine
___ is in tomatoes
lycopene
skin of red grapes contains ___
antioxidants
TURP
transurethral resection of the prostate
bulbourethral glands are __ small glands the size of ____ lying beneath the ___ ___ muscle
two
peas
sphincter urethrae
bulbourethral glands are ducts pierce the ___ membrane to enter the ___ portion of the urethra
perineal
penile
bulbourethral glands secretions are poured to the urethra as the result of ___ stimulation and prior to ____
erotic
ejaculation
bulbourethral glands secretion is ___,___,___ mucous that neutralizes the acidity of the ____ and lubricates the __ and ___ of penis
thick sticky alkaline urethra urethra tip
3 components of the external genitalia
scrotum
testes
penis
penis is the organ of ___
copulation
penis is composed of 3 cylindrical masses of ___ tissue bound together by fibrous tissue and covered by skin
cavernous
penis has 2 ___ ___ and 1 ___ ___
corpora cavernosa
corpus spongiosum
the proximal end of the corpora cavernosa is the ___
crura
the proximal end of the corpus spongiosum is the ___ ___ ___
bulb of penis
distal end of the corpus spongiosum is the ___ ___
glans penis
penis is supported by the ___ ligament and the ___ ligament
fundiform
suspensory
root of the penis contains 2 things
bulb of the penis
crura of the penis
body of the penis contains 3 things
corpora cavernosa
corpus spongiosum
buck’s fascia
glans penis is the ___-shaped region of the penis
acorn
prepuce
extra skin on the tip of the penis
frenulum has __ ___ ___
sensory nerve endings
prepitual glands within ____
prepuce
smegma
secretions of an uncircumcized male accumulation on the inside of foreskin
source of infection
circumcision
HPV more likely if the male is uncircumcised
glans penis thickens when circumcised
homologue of the labia minor in females is the ___
raphe
3 portions to the raphe
penile
scrotal
perineal
blood supply to the penis through 2 arteries
internal pudendal
external pudendal
nerve supply to the penis (3)
pudendal nerve
pelvic plexuses
ilioinguinal nerve
bulbocavernosus reflex
DRE and pinch glans penis cause external anal sphincter
test for S2, S3, S4 levels of spinal cord
phimosis
hard to retract prepuce
paraphimosis
frocibly contracted and edema of glans penis
balanoposthitis
inflammation of penis
priapism
prolonged penile errection side effect of viagra cocaine use sickle-cell anemia have to aspirate the blood
peyronie’s disease
affects CT palmer fibromatosis affects buck's fascia: crooked penis remove fibroma it can reccur
jypospadias
urethral meatus ont he underside of penis
c
chordee
exaggerated curve of the peni
epispadias
urethral meatus found anywhere on top of penis
avulsion of the penis
severed
yanked out
carcinoma of the penis
uncommon
almost never encountered in a circumsized male
HPV may also play a role
seminal fluid: average amount per ejaculation __-__mL
3-5
testes and epididymis - secretions constitute less than __% of the seminal fluid volume
5
seminal vesicles - contributions about __%
60
prostate gland - contricute ___% of seminal fluid
30
bulbourethral glands constitute less than __% of seminal fluid
5
male fertility determined by the number of ___ ___, ___, ___ and ____
sperm ejaculated
size
shape
motility
fertile sperm have uniform ___ and __ and ___ ___
size
shape
highly motile
if sperm count falls below __ million/mL of semen
20
infertility may be cuased by production of ___ some men make against their own sperm = ____ ____
antibodies
immune infertility
erection and lubrication is a ____ reflex (S2, S3, S4)
parasympathetic
emission is a ___ relfex
sympathetic
ejaculation is a ___ reflex
sympathetic
viagra mimmics ___ ___
nitric oxide
male climateric is homologous to ___
menopause
circulating testosterone levels begin to decline between ages ___ and ___ in male climacteric
50
60
male climacteric: reduction of ___ ___
sexual activity
libido/sex drive weakens
male climacteric: increased circulating levels of ___ and ___
FSH
LH