Puberty - 203 Flashcards

1
Q

What are the mesonephric and paramesonephric ducts also known as? What week of development are these present by?

A

Meso - Wolffian
Parameso - Mullerian
They begin to form by the 4th week of development

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2
Q

By week 5 germ cells begin to migrate to the gonadal ridge. Where have they come from?
At this stage is the yolk sac connected to the gut tube?

A

They have come from the yolk sac

The yolk sac is still connected to the gut tube.

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3
Q

By what week of development do the primitive cords begin to form?

A

Week 6. They form by epithelium covering the surface of the gonadal ridge beginning to extend into the mesoderm

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4
Q

What is the purpose of the SRY gene?

A

It is needed for male differentiation to occur

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5
Q

What cells produce anti-mullerian hormone?

A

Sertoli cells

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6
Q

What do leydig cells produce?

A

Androgens

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7
Q

In males - what does the tube of the mesonephric duct become?

A

The epididymis, ductus deferens and ejaculatory duct

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8
Q

In males - what do the sex cords become?

A

Rete testis and seminiferous tubules

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9
Q

Where does the prostate gland originate from?

A

The urethra

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10
Q

In females - what does the paramesonephric duct form?

A

The upper part of the vagina, fornices and uterus

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11
Q

What does the lower part of the vagina form from in female development?

A

The urogenital sinus

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12
Q

In female development what does the gubernaculum form?

A

The round and ovarian ligaments. It passes through the inguinal canal into the labium

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13
Q

In males what is the role of the gubernaculum?

A

Guides the descent of the gonads into their final position -> in the scrotum.

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14
Q

Kidney development begins with what structure?

A

Pronephros - this is in the neck!

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15
Q

Does the pronephros have a function in humans?

A

No! It begins to disappear in the 4th week of development

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16
Q

What structure follows the pronephros? What is the final structure?

A

Mesonephros follows the pronephros. This then degenerates by weeks 7-10 and is followed by the metanephros.
The metanephros becomes the adult kidney

17
Q

What 2 structures is the cloaca split into?

A

Urogenital sinus anteriorly. Anal canal.

18
Q

What do the upper and lower parts of the urogenital sinus become?

A

Upper - bladder
Lower - urethra
They are both endoderm-lined

19
Q

What characterises normal puberty?

A

Development of secondary sexual characteristics, acceleration of somatic growth, advancement of bone maturation, behaviour and psychological changes

20
Q

What defines adolescence?

A

10-24 year old. It is the transition of childhood dependence to adult autonomy.

21
Q

What does LH act on during puberty?

A

The gonads -> causes them to increase the secretion of testosterone/oestrogen.

22
Q

What does the hypothalamus release during puberty?

23
Q

What is the 1st sign of puberty in boy and in girls>

A

Boys - increase in testes size to >4mls

Girls - breast development

24
Q

What must the testicular volume be in boys before the growth spurt starts?

25
In boys, what cells does LH act on? What effect does this have?
Leydig cells, causes the production of testosterone, which acts on sertoli cells which then produce inhibit and oestradiol.
26
Roughly how many cm are boys and girls expected to grow during adolescence? What is the reason for the discrepency?
Girls - 25cm Boys - 28cm Boys are later going into puberty and therefore have 2 more years of normal growth
27
What can be given to boys to induce puberty and growth?
Oxandrolone (an anabolic steroid)
28
How is assessing consonance and non-consonance useful in determining the drive of precocious puberty?
Consonance (normal pattern) suggests that puberty is centrally driven (hypo-pit axis) Non-consonance suggests puberty is peripherally driven, e.g. adrenal/gonadal tumours
29
What defines delayed puberty in boys and girls?
Boys - failure of testicular growth by 14 years | Girls - absence of breast development by 13.5 years OR absence of menstruation 3 years after breast development
30
List some possible causes of delayed puberty
Genetic, disruption of hypo-pit control, lack of gonadotrophins (e.g. kalmann's), chronic illness, environment
31
What investigations are done into pubertal problems?
``` Hormone levels - FSH/LH, oestrogen, testosterone, etc Pelvic USS Bone age Karyotype CT/MRI cranium ```
32
What determines precocious puberty in girls and boys?
Girls - before 8 years (90% idiopathic) | Boys - before 9 years (60% pathology)