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ICS
ICS
30
Medical
Professional
02/05/2012

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Cards

Term
When do primitive gonads appear in gestation?
Definition
5 weeks gestation?
Term
How does gonadal development begin?
Definition
primordial germ cell migration through dorsal mesentery
Term
Do testicular and ovarian development occur at the same time?
Definition
No, testicular development occurs 4-5 weeks before ovarian development
Term
When does gonadal differentiation take place?
Definition
6-9 weeks gestation
Term
What determines gonadal differentiation?
Definition
presence or absence of Sex determining Region Y gene on the Y chromosome
Term
What is the default sex?
Definition
female
Term
What is the first sign of male differentiation?
Definition
sertoli cells
Term
what causes regression of the paramesonephric ducts?
Definition
anti-mullerian hormone produced by sertoli cells
Term
what leads to development of the mesonephric ducts?
Definition
testosterone produced by leydig cells
Term
when do females have the maximum number of oocytes?
Definition
20 weeks gestation
(6-7 million)
Term
what kind of abnormalities are associated with mullerian abnormalities?
Definition
renal anomolies
Term
what are the different stages of the renal system?
Definition
1) pronephros - no excretory function in humans
2) mesonephros - secretes urine for several weeks
3) metanephros - permanent collecting system; forms at 5 wks gestation
Term
what are the 2 pairs of ducts that form the genitourinary system?
Definition
mesonephric = wolffian = male
paramesonephric = mullerian = female
Term
what forms from the wolffian duct?
Definition
caudal portion becomes vas deferens, seminal vesicles, epididymis
Term
what is the vagina formed from
Definition
upper 1/3 - mullerian duct
lower 2/3 - urogenital sinus
Term
what is formed from the mullerian duct?
Definition
cranial portion forms the fallopian tubes, uterus, upper 1/3 of vagina
Term
what happens if the mullerian duct fusion doesnt occur?
Definition
uterus didelphys
Term
what are vertical fusion defects?
Definition
vaginal anomalies resulting from failure of mullerian duct formation
Term
are male and female internal genetalia from same or different precursors?
Definition
internal - different
Term
aremale and female external genitalia from same or different precursors?
Definition
external - same
Term
what does male external genital development depend on?
Definition
presence of androgen
Term
normal female phenotype, small stature
disease?
karyotype?
genitalia?
cause?
Definition
Turner's syndrome
45 X
normal external genitalia and uterus
secondary to meiotic nondisjunction
Term
what is the most common chromosome abnormality in spontaneous abortions?
Definition
45 X
Turner's Syndrome
Term
female phenotype, presents w/ amenorrhea
disease?
karyotype?
genitalia?
cause?
Definition
male pseudohermaphroditism
46 XY
male gonads; failure of virilization of external genitalia
abnormal adrogen production or receptor, inability to convert testosterone to DHT, or androgen insensitivity
Term
ambiguous genitalia in newborn girls
Definition
female pseudohermaphroditism
46 XX
female gonads
enzyme deficiency in steroidogenesis pathway
congenital adrenal hyperplasia
21 hydroxylase deficiency most common cause
blocks cortisol production -> increase ACTH -> increase adrogens -> virilization of external genitalia
Term
how long does it take sperm to develop?
Definition
2 months
Term
where do sperm develop?
Definition
seminiferous tubules
Term
where are sperm stored?
Definition
caudal epididymis
Term
how long does it take sperm to get into uterine tube?
Definition
5 min
Term
how many sperm make it through the vagina?
Definition
1%
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