Physiology Review II Flashcards

1
Q

urinary and repro organs from?

A

intermediate mesoderm

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2
Q

masculinization of gonads?

A

TDF from SRY on Y chromosome

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3
Q

PGC migration

A

4-6 weeks

necessary for formation of gonads

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4
Q

testes formation

A

TDF
primitive sex cords - solid tubes
-canalized

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5
Q

primitive sex cords in males

A

seminiferous tubules
tubuli recti (straight)
rete testis

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6
Q

cortex in males

A

tunica albuginea

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7
Q

testicular descent

A

needs testosterone

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8
Q

mesonephric duct

A

wolffian

  • presence of testosterone
  • develop to male
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9
Q

paramesonephric duct

A

mullerian

  • AMH causes regresion
  • develop to female (absences of AMH)
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10
Q

AMH

A

from sertoli cells

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11
Q

mesonephric tubule structures

A

efferent ductules, appendix of epididymis

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12
Q

mesonephric duct structures

A

epididymis
ductus deferens
ejaculatory duct
seminal vesicle

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13
Q

urethra structures

A

prostate and bulbourethral glands

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14
Q

paramesonephric in male

A

regresses
appendix of testis
prostatic utricle

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15
Q

external genitalia indifferent

A

cloacal folds - urethral and anal folds
genital tubercle
genital swellings

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16
Q

glans penis

A

genital tubercle

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17
Q

hypospadias

A

urethra ventral penis

testosterone dependent**

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18
Q

epispadias

A

urethra dorsal

testosterone independent

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19
Q

cryptorchidism

A

no testes descent

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20
Q

female gonad

A

primitive sex cords medulla degenerate
cortical sex cords from epithelium form follicular cells of oogonia

cortex forms ovary
medulla regresses

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21
Q

female genes?

A

WNT4

DAX1

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22
Q

caudal paramesonephric duct female

A

uterus, cervix, superior vagina

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23
Q

sinovaginal bulb

A

inferior vagina

forms from cloaca
-canalizeds month 5

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24
Q

hymen

A

separate UG sinus from vagina

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25
Q

urethral endoderm

A

greater vestibular and skenes glands

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26
Q

female external development

A

genital tubercle - clitoris
labioscrotal swellings - labia majora
urethral folds - labia minora

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27
Q

uterus arcuatus

A

indentation at fundus of uterus

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28
Q

uterus didelphys

A

double uterus
double vagina

complete lack of fusion - two sinovaginal bulbs

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29
Q

uterus bicornis

A

partial lack of fusion

two uterus / one vagina

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30
Q

uterus unicornis

A

one paramesonephric duct agenesis

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31
Q

uterus bicornis unicollis

A

caudal of one paramesonephric duct doesnt form

1 uterus isolated

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32
Q

epoophoron, paroophoron, gartners duct

A

all can form cysts

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33
Q

klinefelter

A

XXY, nondisjunction
gynecomastia
infertile - low T

34
Q

turner

A

XO, nondisjunction
streak gonads
short stature, broad chest, short neck
lymphademea of hands and feet

35
Q

swyer

A
46 XY
mutation of SRY - no TDF
streak gonads - cancerous
amenorrhea
female external and internal - no ovaries
36
Q

hermaphroditis

A

ovotestes
most 46, XX
translocation of Y (SRY) to X chromosome

ambiguous external genitalia

37
Q

female pseudohermaphroditism

A

46, XX
adrenal hyperplasia
excessive androgens
male external genitalia

38
Q

male pseudohermaphroditism

A

46, XY
testes form
insuficient androgen and AMH

external/internal female

39
Q

androgen insensitivity

A

46, XY

vagina, short, blind ending

testes

lack androgen receptors
mesonephric and paramesonephric degenerate

female external

40
Q

uterine contractions

A

PS

41
Q

detrusor muscle

A

PS

42
Q

sympathetics

A

vasoconstrict

  • peristalsis
  • gland secretions
43
Q

parasympathetics

A

vasodilator
+ peristalsis
uterine contractions
detrusor contractions

44
Q

parasympathetics?

A

pelvic splanchnic

S2-4

45
Q

pelvic splanchnic

A

PS
S2-4

to inferior hypogastric plexus

46
Q

ganglion impar

A

where R and L sympathetic chain merge

47
Q

sympathetics?

A
lumbar splanchnic (major) - T11-L2
sacral splanchnic (minor) - T12-L2
48
Q

lumbar splanchnic

A

major symapthetic T11-L2

-hypogastric nerve to inferior hypogastric

49
Q

sacral splanchnic

A

minor symapthetics T12-L2

-sympathetic chain to inferior hypogastric

50
Q

perineum

A

S - pudendal

PS - cavernous plexus

51
Q

urinary bladder

A

S - lumbar/sacral splanchnic
-contract trigonal

PS - pelvic splanchnic
-contract detrusor

52
Q

urethra

A

S - lumbar/sacral splanchnic

PS - pelvic splanchnic

53
Q

perineal uertha

A

pudendal S2-4

54
Q

testes

A

S - lesser splanchnic

PS vagus

55
Q

ejaculation

A

sympathetic and somatic

56
Q

internal male repro organs

A

S - lumbar/sacral splanchnic

PS - pelvic splanchnic

57
Q

penis

A

dorsal n to penis - S

cavernous nerves - PS

58
Q

erection

A

parasympathetic

-cavernous nerve to helicine arteries

59
Q

ovary/uterine tube

A

S - lesser splanchnic

PS - vagus

60
Q

uterus, cervix, vagina (superior)

A

S - lumbar/sacral splanchnic

PS - pelvic splanchnic

61
Q

inferior vagina

A

pudendal somatic

62
Q

above pectinate

A

S - lumbar/sacral splanchnic

PS - pelvic splanchnic

63
Q

below pectinate

A

S inferior rectal n (somatic)

64
Q

defecation

A

PS afferents - distension
peristalsis - PS

internal sphincter - tonically contracted

65
Q

pelvic pain line

A

peritonealized difference between S and PS pain

above - S T11-L2
below - PS S2-4

66
Q

ureter

A

S pain

67
Q

superior bladder

A

S pain

68
Q

inferior bladder

A

PS pain

69
Q

urethra

A

PS pain

70
Q

rectum

A

PS pain

71
Q

penis

A

somatic - pudendal pain

72
Q

testes, epididymis, vas deferens

A

S pain

73
Q

ovary

A

S pain

74
Q

uterus fundus and body

A

S pain

75
Q

cervix and upper vagina

A

PS

76
Q

lower vagina

A

pudendal somatic

77
Q

lumbar epidural

A

everything gone

78
Q

caudal epidural

A

sacral canal

  • no pain cervix, vagina, perineum
  • feel contractions fundus and body
79
Q

pudendal nerve block

A

majority of perineum

  • feel no somatic pain
  • feel everything else
80
Q

referred pain from PS

A

T12-L2 - lower back

81
Q

referred pain from S

A

perineal region