Reproductive embryology Flashcards

1
Q

What does the SRY (sex determining region of the Y chromosome) initiate the production of?

A

Testis- determining factor

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2
Q

What germ layer do both the urinary and reproductive systems arise from?

A

The intermediate mesoderm

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3
Q

What ridge does the intermediate mesoderm form in the initial development of the urinary and reproductive systems?

A

Urogenital ridge

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4
Q

What are the primitive sex chords?

A

Found in the indifferent gonad at 5-6 weeks

Formed from the proliferating epithelium of the indifferent gonad which penetrates the underlying mesoderm

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5
Q

Where do primordial germ cells migrate from to the urogential ridge in week 6?

A

Definitive yolk sac

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6
Q

What happens if the primordial germ cells dont migrate?

A

Indifferent gonad develops no further

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7
Q

What are the medullary chords?

A

When the indifferent gonad divides into the 2 distinct region, the outer cortex and the inner medulla, the primitive sex chords detach from the cortex to form the medullary chords

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8
Q

What determines what happens to the medullary chords and the cortex in the indifferent gonad?

A

Presence of TDF

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9
Q

What happens to the indifferent gonad in the presence of TDF?

A

Medullary cords develop
No cortical cords develop
Thick tunica albuginea develops

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10
Q

What happens to the indifferent gonad in the absence of TDF?

A

Medullar cords degenerate
Cortical cords develop
No tunic albuginea develops

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11
Q

In the testis as the medullary cords continue to develop what do they form near the hilum?

A

The rete testis

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12
Q

What is the tunica albuginea?

A

Connective tissue layer around the testis

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13
Q

What do the remaining medullary cords in the testis form?

A

The seminiferous tubules which produce spermatoazoa

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14
Q

What do the primordial germ cells give rise to?

A

Oocytes or spermatazoa

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15
Q

What are the cortical cords in the ovaries?

A

Medullary cords degenerate and epithelium begins to proliferate and produces a second generation of cords called the cortical cords
Cortical cords then split and surround the oocyte

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16
Q

At how many weeks do. the gonads become distinguishable?

17
Q

What is the gubernaculum?

A

thickening of the parietal peritoneum

In the male it shortens to facilitate the descent of the testes

18
Q

For which months do the testes remain at the deep inguinal ring?

A

3 - 7 months

19
Q

What pulls the testes through the inguinal canal and into the scrotum?

A

The shortening of the gubernaculum with the aid of the increased intra abdominal pressure from the growing abdominal organs

20
Q

What is the process vaginalis and what does it give rise to in the adult?

A

Pulled down pouch of peritoneum

Gives rise to tunic vaginalis around testis

21
Q

When should the process vaginalis obliterate in a baby?

A

Within the first year

22
Q

What can a patent process vaginalis lead to?

A
  • If it remains open to the abdominal cavity it can lead to an indirect inguinal hernia
  • If it is not open to the abdominal cavity can form cysts which become filled with fluid (as made from peritoneum can produce peritoneal fluid) and can swell - hydrocele
23
Q

What is hydrocele transillumination?

A

Cysts formed from patent process vaginalis containing fluid (hydrocele) with allow light to pass through easily

24
Q

What are the symptoms of hydrocele and how can it be solved?

A

Benign - large cysts can cause discomfort

These can be removed surgically

25
What is cryptorchidism?
Failure of one or both of the testis to descend
26
What is cryptorchidism associated with increased risks of?
Testicular cancer and infertility
27
How is cryptorchidism cured?
Affects 1-4% of births but most spontaneously descend within 3 months, those that dont are corrected surgically within 4-6 months
28
Where do the ovaries descend to in the female?
Pelvic brim
29
Where does the gubernaculum insert?
Labia majora
30
What does the gubernaculum persist as in the adult?
From ovary to uterus = ovarian ligament | From uterus through inguinal canal to labia majora = round ligament