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164 Cards in this Set
- Front
- Back
theca produces what/why?
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androgen- substrate for granulosa-prod. estrogen
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ovulation releases from ovary?
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2ndary oocy. w/ 1st polar body, zona pell., corona rad.
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cumulus oophorus becomes?
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corona radiata
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sperm binds with egg how? species-specific
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sperm cell zona binding sites w/ ZP3 zona sperm receptor on oocyte
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sperm-oocyte membrane binders?
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integrin receptor on oocyte
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what occurs during the 2nd week following fertilization?
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embryo implants. amniotic cavity/primitive yolk sac form
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trophoblast produces what 5 days after fertilization?
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enzymes: disrupt zona pellucida causes hatching
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after hatching?
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trophoblast can make contact with endometrium.
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What is hCG? (basis for pregnancy test)
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Human Chorionic Gonadotropin: essential hormone for pregnancy: maintains proliferation of corpus luteum, secretes hormones - keeps uterine lining:receptive state
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inner cell mass during process of implantation?
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two layered structure:bilaminar embryonic disc hypoblast facing the blastocyst cavity becomes yolk sac w/in cytotrophoblast . inner cell mass cavities form amniotic cavity: floor is single cell layer: epiblast.
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main developmental task during the third week?
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gastrulation third tissue layer appears
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primitive streak forms when?
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13 14 days after fertilization until 5th week
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primitive streak later in gastrulation?
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becomes smaller, more caudal as embryo grows. disappears in 5th week from sacrococcygeal trunk
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ectoderm contribute to?
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nervous system, epidermis body surface tissues (epidermis, hair, nails), glands connected by ducts to body surface (sweat glands, sebaceous glands)
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timing of closure of anterior and posterior neuropores?
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23 days +/-
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endoderm form
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lining of the GI tract, ducts that open to tract, and secretory cells (parenchyma) and glands
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causes embryo to fold during 4th week of development?
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different rates in the growth of tissue neurotube/notoch
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when are most structures complete?
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end of 8th week after fertilization
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gonadal factors which may cause infertility?
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sex chromosomes aneuploidy; space occupying lesions cysts, tumours, scars; environmental agents lead, alcohol, nicotine; testicular dysfunction
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Kleinfelters karyotype
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47XXY (male with extra X chromosome)
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Kleinfelters
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have breasts, small testes, no spermatogenesis
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Turners Syndrome karyotype
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45X0 most dont survive.female, req. hormone repl.
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post gonadal factors may include?
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obstruction of accessory reproductive ducts
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what % of female infertility due to obstruction?
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50%
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tightly structured mucin glycoprotein cervical mucous
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type G may be barrier to microorganisms and sperm
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loosely structured mucous
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Type E sperm can get through-in cervix: periovulatory
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what causes Type G E mucous change
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rising estrogen levels in periovulatory period
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woman/men developing antibodies to sperm cells
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isoimmunity (woman) autoimmunity (man)
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placenta
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apposition of fetal and parental tissues for purposes of physiological exchange and hormonal production
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main components that form placenta?
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syncytiotrophoblast/cytotrophoblast (forms villous chorion)-disappears 4th month
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layers of placental barrier
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maternal blood, syncytiotrophoblast, cytotropoblast, extracellular space, endothelium of fetal blood vessels, fetal blood
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before placenta formation fetus survives how?
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uterine secretions from uterine glands until day 13
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chorion/chorionic sac def.
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extra-embryonic mesoderm + two layers of trophoblast
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contained within the chorion?
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embryo/amniotic+yolk sacs susp. via conn. stalk in chorionic cavity
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only single artery in placenta - % and type of problems
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16%premature, 17%abnormal, 34% small baby
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what might cause cessation of pregnancies?
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combinations & unknowns 60 70% chromosome abnormality/mutation 25%, radiation 1%, infections 2 3%, drugs and chemicals 4 5%,
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60 70% of early abortions due to
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chromosomal disorders: trisomy 50%, polyploidy 25%, 45 + X 25%
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terathanasia
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monster death: tera= monster, thanatos=death
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Of spina bifida cases, what % dies?
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90%
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Retinoids cause defects of
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CNS, face, ears, heart, kindey, esophagus, thymus. Cause spontaneous abortions.
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Cardiovascular system derived mainly from
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splanchnic mesoderm (forms primordium of heart), paraxial and lateral mesoderm midway along hindbrain, & neural crest cells from between otic vessicles (primitive ears) and 3rd pair of somites
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in the primitive heart, future site of Semilunar valves?
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bulbo-truncal junction
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what does the right vitelline vein become
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inferior vena cava
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how does left atrium form
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first sign of left atrium: primary pulmonary vein FROM LEFT ATRIUM (Not SV). grows toward/ cannibalizes pulmonary vein walls, absorbing them to create its walls
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divides the truncus into the aorta & pulm. trunk
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aorticopulmonary septum: (truncal bulbar cushions)
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fallots teratology?
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pulmonary stenosis, overriding aorta (destropositioning) interventricular communication, hypertrophy of R ventricle
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cyanosis
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venous blood in systemic system
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lung formed by
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endoderm and mesoderm. endoderm=lung epithelium. splanchnic mesoderm:cartilage, musc., blood vess
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two types of fistula in lung development
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tracheoesophageal fistula, and esophageal atresia
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stimuli for breathing at birth
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temp., pain, hypoxia chg in chemoreceptor sensitivity
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hyaline membrane disease also known as
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respiratory distress syndrome not enough surfactant
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connects only foregut to anterior body wall
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ventral mesentery
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primitive gut lined with, and supported by tissues?
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lined with endoderm, supp. by splanchnic mesoderm
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endoderm forms what in GI tract
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tissue lining GI tract and its outgrowths (including lungs, airways) and parenchyma
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if laryngotracheal diverticulum forms incorrectly, result?
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fistula (causes polyhydramnios)
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stomach rot. 90 deg. clockwise around long.axis when
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during 7th week
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in umbilicus, which direction does the herniation of the midgut loop rotate?
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counterclockwise
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what does the final rotation accomplish?
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duodenal-jejunal junction to adult location
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failure of midgut to return to gut name?
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omphalocele intestines within umbilical cord
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tear of abdominal wall near umbilicus
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gastroschisis tissue becomes rigid and brittle amniotic fluid bad for tissue
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divides cloacal membrane into urogenital and anal membranes?
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urorectal septum
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if anal membrane doesnt break down condition?
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congenital membranous atresia
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if urorectal septum fuses with posterior cloaca rather than cloacal membrane result?
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complete anal atresia: VERY difficult to correct (no anal opening, no sphincters, etc.)
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if incomplete fusion of urorectal septum and cloacal membrane result?
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because urorectal septum is bifid, incomplete fusion can mean fistulas connect urogenital and rectoanal organs
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tissue type: liver and gallbladder
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outgrowth of endoderm near distal foregut
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what does ventral pancreatic bud become?
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uncinate process with MAIN pancreatic duct
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embryonic tissue becomes: diaphragm central tendon?
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cranial part of septum transversum
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rest of diaphragm
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from dorsal mesentery assoc. w/ esophagus + projections of tissue: pleuroperitoneal folds from body wall
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pancreatic cause of obstruction
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annular pancreas: ring of pancreatic tissue, surrounds duodenum like a collar
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if bowel becomes twisted
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congenital volvulus: can block both lumen and blood supply can become gangrenous
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condition where bowel telescopes on itself
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intussusception
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condition where anus is stenosed by incorrect chamber division
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imperforate anus
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intestine of newborn contains
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meconium: secretions, cells, detritis swallowed with amniotic fluid
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why might intestinal contents not pass? suspect what?
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if too viscous (too much mucous) meconium wont pass. common in kids with cystic fibrosus
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kidney development: 3 stage, with which structure
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nephrogenic cords of intermediate mesoderm from cervical sacral segments
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1st stage kidney development begins when
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3rd week
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stage name, & what develops
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proenephric phase proenephric vessicles near cervical segments form proenephric duct into cloaca
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during 4th week, what happens to duct?
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proenephros and cervical proenephric duct degenerate
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second phase of kidney development
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mesonephric remaining proenephric duct now called mesonephric, is opposite thoracic/lumbar segment
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what develops in second stage
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mesonephric tubules, which open into mesonephric duct
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what do remnants of the second stage contribute to
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male reproductive system
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where and when does third stage develop
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beginning in 5th week, at caudal mesonephric duct with appearance of ureteric bud
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ureteric bud becomes
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ureter, renal pelvis, calyces, collecting ducts/tubules
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metenephric mass becomes what
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glomerulus, nephrons (creating urine)
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metanephric mass forms what around ureteric bud
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metanephric mass forms condensation of masses of mesoderm cells around branches of the ureteric bud, called a TISSUE CAP
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tissue cap forms what
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metanephric vessicles: twist and elongate
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twisting, elongation of tissue cap forms
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loop of henle, convoluted tubules
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if metanephric mass doesnt link up with collecting syst?
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will make urine, but nowhere for it to go: kidney cyst
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recessive polycystic kidney disease
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autosomal recessive, effects both kidneys, massive kidneys, filled with vessicles:take up normal healthy tissue space. collecting tubules are widely dilated. Children usually die. treatment: dialysis or transplant.
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ureteric bud triggers?
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sends out survival signals to metanephric mesoderm mass so that kidney tubules and tissue cap survive, nephrons form (condensation of metanephric mass, and tubologenesis)
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nephrons form but dont join ureteric bud branches result?
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nephrons cant drain, may form cysts
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if nephrogenic cords fuse, results?
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kidneys will fuse, probably wont be able to ascent
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name four abnormalities that ureteric bud-metanephric mass interaction difficulties may cause
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bifid ureter, supernumary kidneys, crossed renal ectopia, renal agenesis
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causes of oligohydramnios
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bilateral polycystic kidney disease, bilateral renal agenesis, premature rupture of amniotic membrane (leakage of fluid), posterior urethral valve (remnant of urogenital membrane) causes blockage
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which ducts and tubes join the urogenital sinus
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ureters, and mesonephric ducts (common excretory ducts)
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allantois forms?
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uracus (when involutes) umbilicus-bladder remnant
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uracus forms?
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fibrous median umbilical ligament
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problem with bladder development
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extrophy mesoderm doesnt separate bladder from sinus, body wall tears, or ureter opens to body surface: result is similar bladder open to body wall
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phenotypic sex is what?
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structural gender. develops over first 3 months
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genital ridge tissue structure
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intermediate mesoderm core, with covering of epithelial lining of body cavity (coelom)
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what are sex cords?
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cord-like extensions of coelomic epithelium penetrating mesoderm of genital ridge
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what is between the sex cords?
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intermediate mesoderm
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stimulates further development of gonad?
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epiblast primordial germ cells appear near origin of allantois, migrate to genital ridges, arrive and enter sex cords -appear at 4th week, arrive at 6th week
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if no Y chromosome, what happens to sex cords?
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begin to fragment
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what do germ cells become if no Y chromosome
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oogonia (primary oocytes)
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what do sex cord cells become if no Y chromosome
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follicular cells around oocytes
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If Y chromosome (and SRY gene) germ cells become
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spermatogonia
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if Y chromosome, sex cords do what?
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elongate to form seminiferous tubules
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if Y chromosome, sex cord cells become
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sertoli cells - secrete antimuellerian hormone
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if Y chromosome, what do intermediate mesoderm cells between the sex cords of genital ridge become?
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Leydig cells, which secrete testosterone
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describe the 2nd phase of test. descent
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trans-inguinal: during 7th month, happens over two days, active process
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where are ductus and testicular vessels after descent
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within spermatic cord
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gubernaculum between ovary and uterus becomes
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ligament of the ovary
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gubernaculum between uterus- labium majus becomes
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round ligament of the uterus
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mass of endoderm created between urogenital sinus and uterovaginal primordium called
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vaginal plate or sinovaginal bulb
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If testicle present, what is induced?
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antimuellerian from sertoli cells induces paramesonephric ducts and uterovaginal primordium to undergo regression
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after regression, remnants of uterovaginal primordium?
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prostatic utricle and appendix of testes
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androgens from leydig cells diffuse into adjacent tissues, inducing what three processes?
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mesonephric excretory tubules link with rete testes, forming efferent ductules, mesonephric duct develops into epididymis, vas deferens and ejaculatory duct, and seminal vessicles grow out of mesonephric ducts
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If no testicle present, paramesonephric ducts become
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uterine tubes
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If no testicle, uterovaginal primordium develops into
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uterus
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if no testosterone present (i.e. no testicle) mesonephric ducts
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regress and degenerate
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mesonephric duct remnants are called
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epoophoron and paroopharon in broad ligament, gartners cyst near uterus
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vagina develops from what two structures
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uterovaginal primordium, plus endoderm of urogenital sinus area called vaginal plate
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condition if hymen not perforated?
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hydrocolpos
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problems caused if hymen not perforated
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fills with fluid, compresses urethra, urine backs up, can cause hydronephrosis
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how is fissure created on ventral surface of glans
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ingrowth of epithelium(ectoderm) forms glandular plate, which breaks down, creating the fissure
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direction of fusion of male urethral folds, and result
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posterior anterior bringing urethral meatus out to glans
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condition where body cant create cortisol
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congenital virulizing adrenal hyperplasia :genotypic females, phenotypic males: no breasts, small penis, chest hair, male pattern baldness XX (female) masculinizes due to androgen
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gonadal dysgenesis
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46XX or 46 XY usually only streak ovary, with uterus/uterine tubes. No testicle, leydig/testosterone, no male duct development: remain pre-pubertal female, with no functioning gonad
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Androgen resistance syndrome (or androgen insensitivity syndrome)
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cant take up androgens, so no masculinizing takes place. Genetically male 46XY, but otherwise female: external genitalia, short vagina to nowhere, no pubic or axillary hair, ample breasts. no male ducts, no descent of testes.
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what is a somite
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visibly segmented mesoderm
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skull and facial bones derived from
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neural crest cells: ectoderm from area (more headwards than somites)
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vault of skull created from
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unsegmented mesoderm
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bifid abnormality of notochord means
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two brains, two faces
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portion of somite which forms bones which bones?
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ventromedial somite: sclerotome: ribs and vertebrae
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face created from
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brain (neuroectoderm), neural crest cells + mesoderm
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mesoderm (neural crest cells) forms which part of face
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facial bones proliferate & migrate -> face bones
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placode
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ectodermal thickenings: naso, optic, otic
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forms sides of roof of mouth
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secondary palatal shelves
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Cyclops
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holoprosencephaly, non-hemispheric brain, nose in forehead(or absent), 1 eye, upper lip=maxillary processes (no nasal tissue), no incisor teeth, canines in midline mentally retarded
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median cleft face syndrome
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hyperteloric, mentally normal, variety: facial abnorm.
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cleft lip causes
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genetic + environmental (pollution?): MUTATION
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cleft lip may or may not occur with
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cleft palate
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Treacher Collins syndrome:
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Autosomal dominant with mutations (GENETIC) small mandible/maxillae, cleft palate, no zygomas, anti-mongoloid eyeslant, no lower eyelashes, notched lid, DEAF: abnormal incus/malleus, malformed ears, NORMAL MENTALLY
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Lateral facial displasia
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due to bleeding in utero: toxic. Normal mentally, asymmetry can involve all structures
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endocrine glands (3)
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thyroid, parathyroid, pituitary
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thyroid derivation
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endoderm of tongue
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thyroid created from
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foramen cecum tunnel at back of tongue buds off, foramen atrophies, becomes fibrous
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hormones of thyroid produced by
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endodermal cells
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thyroid has components of what germ layers
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all neural crest which migrate to thyroid, vessels from mesoderm, epithelial layer
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thyroid cells produce
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calcitonin
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thyrotoxicosis
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HUNGRY, anxious, panicky high heart rate, heart may fail: beats too fast to fill, staring bulging eyes, jumpy fast metabolic rate
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Thyroid deficiency
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Myxedema in adults, cretinism in children: mentally retarded dwarfs, sleep a lot, dont want to eat, tongue hangs out, if neo-natal, MUST give thyroid hormone, or will have developmental problems
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if too much parathyroid, condition?
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hyperparathyroidism: high calcium level in blood, stones in urinary tract, less calcium in bones = fractures, paranoia: stones bones moans groans
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parathyroid glands develop where
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pouches 3 & 4
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anterior pituitary origin
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stomadeal placode > rathkes pouch -> anterior pit.
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posterior pituitary origin
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downgrowth of diencephalons infundibulum posterior pituitary + stalk
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anterior pituitary produces
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hGH
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Posterior pituitary produces
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antidieuretic hormone
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Anterior pituitary stalk connection
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blood vessels
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Posterior pituitary stalk connection
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nerves
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benign tumour of Rathkes pouch -where ant. pit. devel
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Craniopharyngioma
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rathkes pouch tumour will effect
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hormone & cranial nerve problems, esp. CNII, compressed by tumour growth
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craniopharyngeoma symptoms
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bitemporal hemianopia (cant see out to sides or may go blind if enough nerves damaged) hormonal problems (kids with pubic hair, breasts, pigmented nipples, that are also BLIND) SURGICAL TRTMNT.
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