Reproductive tract Flashcards

1
Q

The gonads are derived from the urogenital ridge and primordial germ cells, but where does the urogenital ridge arise form?

A

Intermediate mesoderm in the abdomen

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2
Q

Where do the primordial germ cells come from? Describe the route they take to get from there

A

the yolk sac- they migrate retroperitoneally

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3
Q

What are primordial germ cells role in development?

A

They trigger changes in the indifferent gonads to differentiate into girl and boy

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4
Q

What genetic feature causes M and F differentiation

A

The presence of an SRY gene- found on the Y chromosone, will cause you to develop male characteristics

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5
Q

What changes does the SRY gene cause to create testis development?

A

The medullary cord will develop into testis Cortical cords wont develop The tunica albergenic will thicken

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6
Q

Both M and F have both mesonephric (wolffian) and paramesonephric (mullerian) ducts, where do they drain into?

A

They drain into the urogenital sinus at the cloaca

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7
Q

What changes will occur to the meso and paramesonephric ducts if the testis are present and why?

A

Testis will produce mullerian inhibiting hormone (MIH), which will supresses the development of the paramesonephric/ mullerian duct. It will also produce androgens which will support the mesonephric/ wolffian duct

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8
Q

What will the mesonephric duct become?

A

The vas deferense

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9
Q

What changes will occur to the the ducts if no testis develop?

A

Mesonephric (wolffian) regresses due to lack of androgens Paramesonephric will be maintain due to lack of MIH production

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10
Q

What will the paramesonephric/ mullerian duct become?

A

Uterine/ fallopian tubes and uterus- after fusing and extending cranially to open into abdominal cavity at the ovaries and caudally to open into the cloaca

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11
Q

What happens to the testis after they’ve developed in the abdomen?

A

Testis pulled down by gubernaculum, the mesonephric duct is taken with it. The paramesnephric duct regresses.

As it descends it pinches off a bit of pertioneum, the processus vaginalis, which travels down with the testis. It normally regresses but can be latent causing a hydrocele.

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12
Q

What are the undifferentiated precursors to the external genitalia?

A
  • Genital tubercle - Genital folds - Genital swelling
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13
Q

Describe the process of external male genitalia development, also what is this process driven by?

A
  • Genital tubercle elongates and will become glans of the penis
  • Urogenital folds fuse to become spongey urethra
  • Gential swelling (labiosacral folds) fuse to become scrotal swelling and enlarges to accomodate testis
  • Process of mainly driven by dihydrotestosterone
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14
Q

Describe the process of female external genital development

A

Labia majora devlops from genital (labial) swelling and minora develop from genital folds

Genital tubecle becomes the clitoris

The urethrea opens into the vestible

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15
Q

Where do the male accesory glands develop from?

(Prostate, ejaculatory duct, seminal gland)

A

Prostate and ejaculatory duct come from the urogenital sinus

Seminal gland comes from the mesonephric duct

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16
Q

What will be the result on development of an XY phenotype with androgen insensitivity syndrome?

A

MIH still produced by testis–> paramesonephric duct still regresses

Androgens produced by testis but cant react to it–> mesonephric duct regresses

External genitalia cant respond to dihydrogestosterone so develop to look female

But no deep vagina/ cervic/ uterus ect as no mesonephric duct development.

Testis never descend (process linked to paramesonephric development)

Breasts usually develop but no menses.

17
Q

Why are the undescended testis usually removed in AIS?

A

theyre a cancer risk

18
Q

What will be the result of XX phenotype by congenital adrenal hyperplasia

A

CAH= excessive secretion of androgens form adrenal glands

Meso and paramesnephric ducts develop (androgens present and no MIH)

External genitalia mainly male but ambigious. Internally, both sexual organs exist

19
Q

What is the difference between Kleinefelters syndrome and Turners syndrome?

A

Kleinfelters= 47 XXY (less strong, generally male but less facial hair, broader hips, breasts, due to less testosterone)

Turners= 45, X (webbed feet, short stature, lack of periods, infertile, broad chest, hormone therapy needed to induce puberty)