Reproductive - Anatomy Flashcards Preview

USMLE (S1) Reproductive > Reproductive - Anatomy > Flashcards

Flashcards in Reproductive - Anatomy Deck (35)
Loading flashcards...
1
Q

How does the venous drainage of the left and right gonads differ?

A

The left ovary/testis drains via the left gonadal vein and left renal vein into the inferior vena cava; the right ovary/testis drains directly from the right gonadal vein to the inferior vena cava

2
Q

Which lymph nodes might be biopsied, if needed, for a patient with a testicular or ovarian malignancy?

A

The para-aortic lymph nodes, which are the lymphatic drainage of the gonads

3
Q

Which bilateral organ other than the gonads has similar venous drainage to the gonads (ie, the left organ drains to the left renal vein and the right organ drains to the inferior vena cava)?

A

The adrenal glands

4
Q

Lymph from the distal one third of the vagina/vulva/scrotum would drain to which lymph nodes?

A

The superficial inguinal lymph nodes

5
Q

Lymph from the proximal two thirds of the vagina/uterus would drain to which three lymph nodes?

A

Obturator, external iliac, and hypogastric lymph nodes

6
Q

Which vessels are found within the suspensory ligament of the ovaries?

A

The ovarian vessels

7
Q

Which vessels are found within the transverse cervical (cardinal) ligament?

A

The uterine vessels

8
Q

Which vessels are found within the round ligament?

A

0

(remember: round like the number of structures it carries: 0)

9
Q

What structures are contained within the broad ligament of the uterus?

A

The round ligament of the uterus, the fallopian tubes, and the ovaries

10
Q

Name the ligament that attaches the ovary to the uterus.

A

The ligament of the ovary (do not confuse with the suspensory ligament of the ovary)

11
Q

Name the ligament that attaches to the superior aspect of the uterus, travels through the inguinal canal, and attaches distally to the labia majora.

A

Round ligament of the uterus

12
Q

Name the ligament that attaches the ovaries to the lateral pelvic wall.

A

The suspensory ligaments of the ovaries

13
Q

What ligament attaches the cervix to the side wall of the pelvis?

A

The transverse cervical (cardinal) ligament

14
Q

What is the name of the space between the uterus and the rectum?

A

The pouch of Douglas

15
Q

Through which structures do sperm travel during ejaculation?

A

Seminiferous tubules, Epididymis, Vas deferens, Ejaculatory ducts, Nothing, Urethra, Penis

(remember: SEVEN UP)

16
Q

Erection is mediated by the _____ (sympathetic/parasympathetic) nervous system, whereas ejaculation is mediated by the _____ (sympathetic/parasympathetic) nervous system.

A

Parasympathetic; sympathetic

(remember Point & Shoot)

17
Q

What is the role of nitric oxide in the physiology of penile erection?

A

Nitric oxide is proerectile, causing smooth muscle relaxation and vasodilation via the cGMP pathway to increase blood flow to the penis

18
Q

Name two drugs that are proerectile and work via the nitric oxide pathway.

A

Sildenafil, vardenafil

19
Q

What is the effect of norepinephrine on the male sexual response?

A

Norepinephrine is antierectile, causing smooth muscle contraction and vasoconstriction via calcium influx to reduce blood flow to the penis

20
Q

Which nerve is responsible for emission (the release of ejaculatory fluid into the urethra)?

A

The hypogastric nerve (the sympathetic nervous system)

21
Q

Which nerve is responsible for ejaculation?

A

The pudendal nerve (visceral and somatic components)

22
Q

The acrosome of the sperm is derived from what organelle?

A

The Golgi apparatus

23
Q

The flagellum (tail) of the sperm is derived from what organelle.

A

One of the centrioles

24
Q

The middle piece (neck) of the sperm contains what organelle?

A

The mitochondria

(remember Middle piece has Mitochondria)

25
Q

What is the sperm's food supply?

A

Fructose

(remember: Feeds on Fructose)

26
Q

What is the final phase of spermatogenesis called?

A

Spermiogenesis, in which a spermatid becomes a spermatozoa

27
Q

Of the cells found in the seminiferous tubules, what are the germ cells called? The non-germ cells? The endocrine cells?

A

Spermatogonia; Sertoli cells; Leydig cells

28
Q

Which cell types line the apical side of seminiferous tubules?

A

Sertoli cells and spermatogonia

29
Q

Name six general functions of Sertoli cells.

A

Secretion of inhibin, secretion of androgen-binding protein, formation of the blood-testis barrier, support and nourishment of developing sperm, regulation of spermatogenesis, and production of anti-müllerian hormone

(remember: Sertoli cells Support Sperm Synthesis)

30
Q

What is the effect of inhibin released by Sertoli cells?

A

Inhibition of follicle-stimulating hormone release

31
Q

What is the effect of androgen-binding protein released by Sertoli cells?

A

Androgen-binding protein maintains the high testosterone levels that are required for spermatogenesis

32
Q

Why is a blood-testis barrier necessary?

A

It isolates genetically unique sperm from the immune system, preventing autoimmune attack

33
Q

What are the three major components of semen?

A

Seminal vesicle products (60% of total volume), prostate products (20% of total volume), and sperm

34
Q

What sugar does semen contain? Where does it come from?

A

Fructose, which comes from the seminal vesicles

35
Q

What mineral does semen contain? Where does it come from?

A

Zinc, which comes from the prostate gland