The development and sexual differentiation of the reproductive system Flashcards

1
Q

what are the 4 parts of sexual development? [4]

A

1. Genetic sex
‐ Chromosomal composition: XX or XY

‐ Determined at fertilization, yet this doesn’t mean the organs have developed as male or female at this stage

  1. G_onadal development_
    ‐ Development of testes or ovaries

‐ Defined during embryonic development

3. Development of the sex‐specific internal ducts and external genitalia

‐ Hormone dependent
‐ Defined during fetal development

4.Secondary sex characteristics

‐ Defined at puberty

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2
Q

which of the following is determined in fetal development

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

A

which of the following is determined in fetal development

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

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3
Q

which of the following is determined at fertilisation

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

A

which of the following is determined at fertilisation

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

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4
Q

which of the following is determined during embryonic development

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

A

which of the following is determined during embryonic development

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

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5
Q

which of the following is determined during puberty

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

A

which of the following is determined during puberty

genetic sex
gondal development
development of sex-specific internal ducts and external genitalia
secondary sex characteristics

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6
Q

where do gonads appear at the start of their development? [1]
what does these ^ eventually become in the gonads? [1]

A

where do gonads appear at the start of their development? [1]
gonads appear as longitudinal gential ridges

what does these ^ eventually become in the gonads? [1]
eventually become ducts / tubules in the gonads

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7
Q

what is A & B?

A
A = genital ridges
B = hindgut
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8
Q

explain the process primordial germ cell migration in the developing gonad xx

when and where does it occur? [2]

A

explain the process primordial germ cell migration in the developing gonad xx

i) when and where does it occur? [2]
* *primordial germ cell migration: moves to genital ridge at 4 weeks**

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9
Q

after primordial germ cells have migrated ot the genital ridges, which 3 cell types are found in the ridge? [3]

what are each of their functions? ^

A

1. primordial germ cell (just migrated) –> future gametes (spermatogonia and oogonia).

2. mesothelial cells –> seminiferous tubules and ovarian tubules (waiting to be activated)

3. mesenchymal cells –> leydig cells in males, stromal cells in female

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10
Q

what are the different types of mesenchymal cells in male and female? [2]

A
male = **leydig cells**
female = **stromal cells**
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11
Q

what are the name of the genital / internal ducts in

males: [1]
females [1]

A

what are the name of the genital / internal ducts in

males: wolffian ducts
​females: mullerian ducts

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12
Q

what do mullerian ducts give rise to ? [3]
what do wolffian ducts give rise to ? [3]

A

what do mullerian ducts give rise to ? [3]
uterus, fallopian tubes, cervix & upper 1/3 vagina

​what do wolffian ducts give rise to ? [3]
vas deferens, seminal vesicles and epididymis

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13
Q

how does the body determine if you produce mullerian ducts or wolffian ducts? [2]

which hormones are secreted / what happens after this has happened to continue development of wolffian ducts? [2]

A

no hormonal input: develop mullerian ducts

hormanol input: wolffian ducts

then:

  • SRY on Y chr encodes for testes-determining factor –> induces Leydig cells to produce testosterone
  • *sertoli cells** in testes produce mullerian inhibitory factor: inhibits the formation of mullerian duct
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14
Q
A
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15
Q

what does DHT cause the production of? [3]

A

DHT, which will give rise to the male external genitalia (prostate, penis and scrotum).

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16
Q

what happens if have patients who’s leydig cells dont secrete testosterone?

A

Sometimes testosterone may not be secreted by Leydig cells.

  • Patient presents as female with female external genitalia
  • Primary amenorrhea
  • No genital ducts/associated structures
  • Undescended testes as genetically male XY
  • Sertoli cells will still produce MHF which inhibits Mullerian duct, so you will have no uterus , fallopian tubes, cervix or upper vagina
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17
Q

when does differention into male / female occur?

week 6
week 7
week 8
week 9
week 10

A

when does differention into male / female occur?

week 6
week 7
week 8
week 9
​week 10

have both the mullerian duct and wollfian duct up to 7 weeks - then differentation occurs

18
Q

male development:

Wolffian duct persists to give rise to what? [3]

what happens to the Mullerian ducts? [1]

A

Wolffian duct persists to give rise to epididymis seminal vesicles and vas deferens

Mullerian duct will begin to degenerate.

19
Q

female development:

what happens to mullerian ducts? [1] what do they turn into? [1]

A

what happens to mullerian ducts? [1]
close in and fuse into a continuum

what do they turn into? [1]
vaginal/ uteral canal

20
Q

what can happen to mullerian duct to create anomolies?

A

double uterus
double vagina,
double uterus presenting to single vagina
sometimes only one duct persists, etc.

21
Q

A double uterus or a bicornuate / unicornuate uterus results from? [2]

A
  • Incomplete fusion of Mullerian ducts inferiorly
  • Incomplete development of ducts
22
Q

which hormone controls the formation of external genitalia?

testosterone
MIF
DHT
cHG
LH

A

which hormone controls the formation of external genitalia?

testosterone
MIF
DHT !!!
cHG
​LH

23
Q

formation of the external genitalia:

what does the labioscrotal swelling turn in (in male / female?) [2]
what does the urogenital folds turn into (male / female) [2]
what does the genital tubercle turn into? (male / female) [2]

A

what does the labioscrotal swelling turn in (in male / female?) [2]
labia majora (f)
scrotum

what does the urogenital folds turn into (male / female) [2]
ventral penis / penile urethra
labia minora

what does the genital tubercle turn into? (male / female) [2]
glans penis
glans clitoris

24
Q

what is the position of the testes as they descend?

2nd month [1]

3rd month [1]

7th month? [1]

9 month? [1]

A

what is the position of the testes as they descend?

2nd month [1]
abdomen wall

3rd month [1]
migrate through abdomen - gubernaculum starts to develop and guide the testes down into the future scrotum

7th month? [1]
scrotum

9 month? [1]
9 months there should be a small area of gubernaculum​

25
Q

label A & B [2]

A

A: gubernaculum testis
B: vaginal process

26
Q

during descent of testis:

what happens to transverse abdominis? [1]
what happens to processus vaginalis [2]

A

during descent of testis:

what happens to transverse abdominis? [1]
doesnt get carried through to testis

what happens to processus vaginalis [2]

  • *should regress - if not turn is indirect inguinal hernias !**
  • *turns into tunica vaginalis**
27
Q

label A-D

A

A: transversalis fascia
B: transversus abdominis
C: internal oblique
D: External oblique

28
Q

what is the name for when one or both of the testicles do not descend into the scrotum while the fetus is developing? [1]

what is an ectopic testes? [1]

A

Cryptorchidism

ectopic testis: where one of the testicles has not descended into the scrotum as normal, but instead has taken a different path and has descended through the abdominal cavity until it has settled in the pre-pubic area in the inguinal canal, instead of in the scrotum.

29
Q

indirect / congenital hernia occurs because of a protrusion of an abdominal viscus into WHICH STRUCTURE? [1]

A

An indirect inguinal hernia is a congenital hernia, regardless of the patient’s age. It occurs because of protrusion of an abdominal viscus into an open processus vaginalis

30
Q

describe relocation of the ovaries (move from where –> where?)

A

Move from superior lumbar region and relocate to the lateral wall of the pelvis

31
Q

label A-E

A

A: Bladder
B: Vas deferens
C: seminal vesicles
D: prostate
E: ureters

32
Q

which structures transverse the prostate? [2]

A

urethrea
ejaculatory duct

33
Q

which part of the urethrea do the common ejaculatory ducts open into?

membranous urethra
spongy urethra
prostatic urethra
preprostatic urethra

A

which part of the urethrea do the common ejaculatory ducts open into?

​membranous urethra
spongy urethra
prostatic urethra
preprostatic urethra

34
Q

where is prostate in relation to bladder?

superior
inferior
lateral
medial

A

where is prostate in relation to bladder?

superior
​inferior
lateral
medial

35
Q

how many lobes does the prostate have? [3]

A

1 median
2 lateral

36
Q

where does the suspenosry ligament run from (where to where)? [2]

A

where does the suspenosry ligament run from (where to where)? [2]

wall of the cavity –> uterus

37
Q

label the different parts of the fallopian tube

A
38
Q

which is the most common site of fertilisation in fallopian tube?

infundibulum
ampulla
isthmus
​fimbrae

A

which is the most common site of fertilisation in fallopian tube?

infundibulum
ampulla
isthmus
​fimbrae

39
Q

what are the lumen called that surround the cervix? [1]

A

The lumen surrounding cervix divided into fornices – ant, post, and 2 lateral

40
Q

name this structure [1]

A

ureters