development of the reproductive system Flashcards

1
Q

what are the three primitive germ layers?

A

ectoderm - develops in skin
mesoderm- (paraxial- vertebrae, intermediate - urogenital structures, lateral)
endoderm- GIT and respiratory tubes

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2
Q

when does gastrulation occur?

A

day 16

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3
Q

what happens to the intermediate mesoderm?

A

condenses to form cylindrical structures creating the urogenital ridges.
They then organise into the nephrogenic cord which gives rise to urinary structures and the gonads

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4
Q

where does gonad development begin

A

in the yolk sac- lined with endoderm cells

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5
Q

how is the yolk sac connected to the embryo

A

via the vitelline duct

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6
Q

how to endoderm cells in the yolk sac become the primitive sex cords?

A

differentiate to primitive germ cells.
migrate along vitelline duct to the dorsal mesentery.
In week 6 they go to the genital ridge and settle in the epithelium
send signals to the ridge to self organise into an undifferentiated gonad of which the epithelium layer forms the primitive sex cords.

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7
Q

at what week does gonal differentiation occur

A

week 7

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8
Q

how do male gonads differentiate?

A

SRY region of the Y chromosome codes for testes determining factor
up regulating SOX9 which initiates testes development.

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9
Q

what happens to the primitive sex cords in males?

A

they become the medullary cords which carry germ cells into the mesoderm.
The medullary cord become 3 ductal structures: seminiferous tubules, straight tubules and the rete testes.

primordial germ cells into the seminiferous tubules and mature to become spermatogonia which then become sperm during puberty.

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10
Q

at what week do the cells in the walls of the seminiferous tubules become sertoli cells?

A

week 8

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11
Q

what do sertoli cells secrete

A

mullerian inhibiting factor

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12
Q

what do leydig cells secrete

A

testosterone

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13
Q

how do female gonads differentiate?

A

no SRY gene so no testes determining factor

WNT4 gene develops undifferentiated gonads into ovaries

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14
Q

what happens to the primitive sex cords in females?

A

they degenerate

the surface epithelium becomes cortical cords which form nests of follicular cells surrounding each primordial germ cell.

this is called a primordial follicle which becomes a primary then secondary oocyte.

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15
Q

from which embryological structure do the genital ducts originate from

A

nephrogenic duct

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16
Q

which embryological duct forms the male genital duct

A

mesonephric

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17
Q

which embryological duct forms the female genital duct

A

paramesonephric (mullerien)

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18
Q

how do the male genital ducts develop

A

mullerian inhibiting factor secreted from the sertoli cells degenerate the paramesonephric duct into the appendix testes

the mesonephric duct grows under the influence of testosterone forming:
efferent ductules
epididymus 
vas deferens 
seminal gland 
ejaculatory duct
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19
Q

what is the appendix testes

A

the degenerated paramesonephric duct

20
Q

how do the female genital ducts develop

A

there is no testosterone so the mesonephric duct degenerates

no mullein inhibiting factor so the paramesonephric duct persists to form:
fallopian tubes
uterus
cervix
1/3 vagina
21
Q

what are the two sets of folds that form the undifferentiated external genetalia

A

urethral folds and labioscrotal swellings

there is also the genital tubercle which forms the primordial phallus

22
Q

how does the male external genetalia develop

A

there are high levels of testosterone due to leydig cells
5-alpha-reductase converts testosterone to dihydrotestosterone (more potent) which masculinises the genetalia

urethral folds fuse along the midline to form the penile urethra
the primordial phallus elongates
the labioscrotal swellings fuse to form the scrotum

23
Q

how does the female external genetalia develop

A

no testosterone so the urethral folds stay unfused forming the labia minora

the labioscrotal swellings fuse anteriorly to form the mons pubis and the labia majora

the primordial phallus shrinks to form the clitoris

24
Q

what what week are the external genetalia done differentiating

25
what does the gubernaculum anchor
the testes to the scrotum
26
where do the testes originally develop
near the anterior abdominal wall
27
what does the gubernaculum do
it shortens to pull the testes down towards the scrotum forming the inguinal canal (where the processes vaginalis herniates through the abdominal wall
28
what are the contents of the spermatic cord
3 arteries 3 nerves 3 other testicular artery, vas deferens artery and cremaster artery(+vein) genital branch of the genitofemoral nerve, creasteric nerve and sympathetic nerve fibres vas deferens pampiniform plexus lymph vessels
29
what are the layers of the scrotum
``` Some- skin Damn- dartos fascia Englishman- external spermatic fascia Called- cremaster muscle It- internal spermatic fascia The- tunica vaginalis Testes- tunica albuginea ``` External spermatic fascia was originally the external clique aponeurosis Cremaster was the internal oblique Internal was the transversalis fascia
30
what does the gubernaculum join in females
the inferior ovary to the labia majora
31
what does the gubernaculum do in females
it shortens and the middle joins to the uterus forming two ligaments- the ovarian ligament and the round ligament
32
what is cryptorchidism
undescended testes | can be anywhere along the path of descent: abdominal, inguinal, prescrotal
33
what are the complications of undescended testes
TESTIS ``` T-trauma E-epididymo-orchitis S-sterility T-torsion I-intestinal hernia S- seminoma ```
34
what is hypospadias
congenital disorder of the urethra the urinary opening is not at the head of the penis failure of the urethral folds to close
35
what other abnormalities is hypospadias associated with
undescended testicle, cleft lip/palate, congenital heart disease, inguinal hernia
36
what is the venous drainage of the testes
the pampiniform plexus become a single vein as it ascends through the inguinal canal right testicular vein drains into the IVC the left testicular vein drains to the left renal vein
37
what is varicocele
dilation of the pampiniform plexus
38
why is varicocele seen more commonly on the left side
1. the left testicular vein is longer 2. it enters at a right angle to the renal vein 3. the left testicular artery arches over it 4. a loaded sigmoid colon can compress it
39
what is testicular torsion
when the testicle rotates, twisting the spermatic cord thus stopping blood flow to the testicle
40
what are the attachments of the inguinal ligament?
the anterior superior iliac spine (ASIS) and the pubic tubercle
41
what are the boundaries of the inguinal canal
anterior- aponeurosis of the external oblique posterior- transversals fascia roof- internal oblique and transverse abdomenus floor- inguinal ligament
42
what are the openings of the inguinal canal
the deep ring: found above the midpoint of the inguinal ligament (created by transversals fascia) the superficial ring: just superior to the pubic tubercle (created by evagination of the external oblique)
43
what are the contents of the inguinal canal
``` spermatic cord (males) round ligament (females) ilioinguina nerve (only passes through superficial ring not through the deep) genital branch of the genitofemoral nerve ```
44
what is an indirect hernia
where the peritoneal sac enters the inguinal canal through the deep ring (hernia will be lateral to the epigastric vessels)
45
what is a direct hernia
where the peritoneal sac enters the inguinal canal through the posterior wall (hernia will be medial to epigastric vessels)
46
what is a bicornate uterus
a 'heart shaped uterus' failure of the fusion of the user parts of the paramesonephric ducts has a risk of recurrent miscarriage