Sexual Development Flashcards

1
Q

How is Turner’s syndrome characterized?

A

45, XO

Short Stature and webbed neck.

3 CVS 
2 Eye abnormalities
2 Ear
2 Neck
2 Learning
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2
Q

46,X,i(Xq) would give rise to what disease?

A

Turner’s.

i(Xq) means the second X chromosomes has two long arms and is not fully functional

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3
Q

How is Kleinfelters classified?

A
47XXY
Tall
Hypogonadism
Infertile
Girly Man
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4
Q

What are the hallmarks of Jacobs Syndrome?

A
47 XYY
Learning disabilities
Behavioral difficulties
Tall
Autism
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5
Q

What generally determines gonadal sex?

A

Chromosomes- XX or XY SRY gene

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6
Q

What determines secondary sex characteristics?

A

Gonadal development

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7
Q

During Male development, what major events occur in weeks 7 and 8?

A

7-Differentiation of Sertoli and Leydig cells

8-Leydig produces Testosterone
Sertoli produces AMH
Sex cords differentiate into the spermatic track.

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8
Q

During female development, what major events occur in weeks 7 and 8?

A

Primitive sex cords regress and cortical cords form –> follicular cells

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9
Q

What is the SRY and SOX9 gene responsible for?

A

Producing AMH

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10
Q

What transcription factor is repsonsible for ovary differentiation?

A

WNT4

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11
Q

A mutation in the DHH gene could result in:

A

Increased SOX9

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12
Q

Why do XY individuals with Androgen Insensitivity often have female genitalia

A

Dihydrotestosterone cannot bind receptor. Thus penis, scrotum and urethral opening are not present.

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13
Q

How can you distinguish between 5-alpha-reductase deficiency and AIS?

A

At puberty, 5AR men will show increased virilization.

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14
Q

A mutation in which gene causes Denys-Drash and Frasier syndromes?

A

WT1
Kidney problems
Sex reversal
WT1 is a transcription factor for SRY gene

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15
Q

What is the halmark of Congenital Adrenal Hyperplasia?

A

Salt wasting early in life
21 hydroxylase deficiency
46 XX sexual disorder

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