Key Facts Flashcards
What does the Trophoblast become in the week of 2s?
Syncitiotrophoblast, Cytotrophoblast
What does the embryoblast becomes?
Hypoblast and epiblast
What does the hypoblast form?
Yolk sac and chorionic cavity
What week does gastrulation occur in?
Week 3
What week does neurulation occur in?
Week 4
What does the epiblast form?
Ecto, Meso, Endoderms
Describe the layout of the testes
Seminiferous tubules lead to epididymis via rete testis, which leads to vas deferens
Surrounded by tunica vaginalis, which has a viseral and parietal pleura
What happens in the Seminiferous tubules?
Spermatogenesis
How should you test if a testicular lump is a hydrocoele?
Water fills the tunica vaginalis
Transilluminates
What is the role of Sertoli cells?
Spermatogenesis support
What is the role of Leydig cells?
Produce testosterone
Where does the testicular artery come from?
Branch of Internal Iliac from Common Iliac
Where does the testicular vein drain into?
Renal vein (left) IVC (right)
What do the testicular arteries and veins form?
Pampiniform plexus - allows for counter-current exchange for temperature purposes
What is the lymphatic drainage of the testes?
Para-aortic lymph nodes
Describe testicular torsion
Tunica vaginalis + testis twist around eachother in a bell-clapper deformity, which cuts off venous drainage
Eventually ischaemia and compartment syndrome
Name 3 causes of scrotal swelling
Varicocoele
Hydrocoele
Testicular cancer
What is a varicocoele?
Pampiniform plexus swelling - most likely to occur on left side as drains into the renal vein
What does the ureter pass under in men and women?
Men: Vas deferens
Women: Uterine artery
What are the 3 layers of the spermatic cord?
External spermatic fascia - external oblique
Cremasteric muscle - internal oblique
Internal spermatic fascia - transversalis fascia
What are the contents of the spermatic cord?
3 nerves - testicular, nerve to vas, nerve to cremasteric nerve
3 arteries - testicular, artery to vas, cremasteric artery
3 veins - testicular, vein to vas, cremasteric vein
3 fascial layers - external spermatic fascia, cremasteric muscle, internal spermatic fascia
3 random - vas deferens, cremasteric muscle, iliolingual nerve
Name the accessory glands and what they contribute to sperm
Seminiferous tubules (maybe not) - make sperm
Seminal vesicles - nutrition - fructose, high pH to neutralise acid
Prostate - proteolytic enzymes
Bulbourethral glands - reduce friction
Name the prostate zones from top to bottom and the disease associated with each
Central
Transitional - BPH
Peripheral - Prostate cancer
Name the symptoms of BPH
Frequency
Weak stream
Dribbling
Which out of BPH and Prostate cancer prevents full emptying?
Prostate cancer causes incomplete voiding
What is the role of the tunica albuginea?
Helps penis maintain its shape
What is the role of the corpus cavernosum? (the eyes)
Fills with blood
What is the role of the corpus spongiosum?
Stops urethral occlusion
How is an erection formed?
Point and shoot
Parasympathetics cause vasodilation of arteries and constriction of veins
Sympathetics cause ejaculation
What does the ovarian artery travel through?
Suspensory ligament of the ovary
How does the ovarian artery drain?
Same as the testicular artery
What is the top of the uterus called?
The fundus
What is the zone between the internal and external cervical os called?
Transformation zone (NOT TRANSITION)
What are the 3 sections of the fallopian tubes from fimbriae to uterus?
Infundibulum, ampulla, isthmus
Name 2 ectopic pregnancy sites
Ampulla, peritoneum
Why is pain felt in the pelvis in ectopic pregnancy?
Flows down paracolic gutters, irritates phrenic nerve, which has roots 3, 4, 5 - this transmits to C3, 4, 5 dermatomal regions
Name the ligaments of the uterus
- Suspensory ligament
- Broad ligament
- Round ligament - to labia majora
- Ovarian ligament - to round ligament
What does the uterine artery travel through?
Mesovarium
What is the standard uterine position?
Anteverted anteflexed
Describe the cellular make up of the vagina
Stratified squamous epithelia with glucose pouches for lactobacilli - if killed, leads to thrush (candida albicans invasion)
What embryological origin do the reproductive tracts form from?
Intermediate mesoderm
What is the male genotype?
XY
What gene is activated in male children?
SRY
What are the two duct types?
Paramesonephric - women
Mesonephric - men
What do the testes produce and what does it inhibit?
Mullerian inhibiting hormone - destroys paramesonephric ducts
What is produced to maintain the mesonephric ducts?
Testosterone
What does exogenous androgens lead to?
In women: Both develop
What does AIS lead to?
In men: no genitals
What does the genital tubercle become in men and women?
Spongy urethra
Clitoris
What is Turner’s syndrome?
45X - short stature, non-functioning ovaries, amenorrhoea
What is Klinefelter’s syndrome?
47XXY - males with small testes, reduced libido, infertility, enlarged breast tissue
What hormones mediate somatic growth in puberty?
GH, IGFs
Describe the order of secondary sex characteristics in females
Breast (thenarche), pubes, growth, menarche, pubes, breast
Describe the order of secondary sex characteristics in males
Genitals, pubes, sperm, growth, genitals, pubes
What are the age ranges for puberty in females and males?
9-13
10-14
What is early puberty called?
Precocious puberty
What is the puberty weight?
47kg
What initiates puberty?
GnRH -> FSH + LH
What is the role of Leydig cells and what hormone are they acted on by?
LH -> Testosterone
What is the role of Sertoli cells and what hormone are they acted on by?
FSH -> Spermatogenesis
Inhibin release
What is the effect of low level Oestrogen on GnRH?
Inhibits GnRH
What is the effect of high level Oestrogen on GnRH?
Increases GnRH
What does progesterone do at high Oestrogen?
Inhibits GnRH - stops LH surge
What does GH do in puberty?
Releases TSH, increases metabolic rate and storage for growth
Why are girls shorter with precious puberty?
Oestrogen inhibits growth
What is the difference between central and peripheral precocious puberty?
Central = due to brain inflammation Peripheral = due to excess testosterone from a tumour
What happens with the daughter cells in females after meiosis?
3 polar bodies, 1 oocyte
Name 3 sources of genetic variation and the phase they occur in
Crossing over - Prophase 1
Independent assortment of chromosomes - Metaphase 1
Random segregation
Describe the process of spermatogenesis
Spermatogonia -> 2 Spermatocytes via Mitosis, with one replacing original spermatogonia -> secondary spermatocyte via meiosis, ends as a spermatid
What is a germ cell sperm called?
Spermatogonia
What is the process of a sperm travelling down the rete testis to the epididymis to become more motile called?
Spermiogenesis
What does capacitation of sperm involve?
Removal of glycoproteins and cholesterol in the vagina to prepare for acrosome reaction
Describe the process of oogenesis
Oogonia -> Proliferate by mitosis -> Enter meiosis 1 to become primary oocytes -> surrounded by primordial follicles -> primordial follicles -> atresia begins
Describe the process of ovulation, naming each stage
Pre-antral - Granulosa cells formed from granulosa cells, which form the zona pellucida
Antral - antrum develops, theca externa and interna develop, becomes secondary follicle
Pre-ovulatory - LH surge induced, meiosis 1 is completed, 1 polar body and 1 oocyte
What is formed around the oocyte after ovulation and by what?
Theca and Granulosa cells form the corpus luteum
What is the lifespan of the corpus luteum?
14 days
What is released by the fertilised embryo to keep the corpus luteum alive? What part of the embryo releases it?
B-hCG
Syncitiotrophoblast
What hormone triggers ovulation?
LH surge
What hormone causes follicles to grow?
FSH
What causes inhibin release and from where?
FSH, from the Granulosa cells
What are the two overall phases of the menstrual system?
Ovarian and Uterine
What 2 phases is the Ovarian phase of menstruation split into?
Follicular and Luteal
What 2 phases is the Uterine phase of menstruation split into?
Proliferative and Secretory
Describe the Follicular phase of the Ovarian cycle.
FSH stimulates Theca interna, which combined with Granulosa cells in pre-antral phase, lead to Oestrogen production.
Oestrogen promotes thickening of the endometrium and thinning of the mucous.
Oestrogen levels rise slowly.
LH surge begins due to raised oestrogen.