Human Development and Birth Defects
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Questions and Answers

What is the primary reason spermatozoa are at a disadvantage in the acidic environment of the vagina?

  • Spermatozoa can survive only in neutral environments.
  • Spermatozoa produce excessive acidity.
  • Spermatozoa have high buffering capacities.
  • Spermatozoa thrive in alkaline environments. (correct)

During ovulation, what change occurs in the cervical mucous?

  • It becomes acidic to repel spermatozoa.
  • It remains unchanged from its non-ovulation state.
  • It becomes more fluid to facilitate sperm passage. (correct)
  • It becomes thicker to trap sperm.

What is the time frame within which some sperm can reach the uterine tube after insemination?

  • 30 minutes to 1 hour.
  • 5-20 minutes. (correct)
  • 2-4 hours.
  • 1-2 minutes.

What process must sperm undergo in the uterine tube to become capable of fertilizing an egg?

<p>Capacitation. (C)</p> Signup and view all the answers

Which factor increases during capacitation to aid sperm motility?

<p>Bicarbonate concentration. (A)</p> Signup and view all the answers

What is a characteristic of the slow phase of passage of spermatozoa through the cervix?

<p>Involves storing sperm in the cervical crypts. (B)</p> Signup and view all the answers

Which of the following is NOT a change that occurs during sperm capacitation?

<p>Decrease in cellular motility. (B)</p> Signup and view all the answers

What is the role of the isthmus in relation to sperm and oocyte interaction?

<p>It allows sperm to bind and undergo capacitation. (D)</p> Signup and view all the answers

What happens to follicles that do not respond to gonadotropins?

<p>They undergo apoptosis. (D)</p> Signup and view all the answers

Which structure is formed from the cumulus oophorus at the time of ovulation?

<p>The corona radiata (B)</p> Signup and view all the answers

What role do Sertoli cells play in regulating testosterone levels?

<p>They transform some testosterone into estrogens. (D)</p> Signup and view all the answers

What is the primary function of inhibin released by the mature Graafian follicle?

<p>To decrease FSH secretion. (B)</p> Signup and view all the answers

Which event triggers the resumption of meiosis I in the oocyte?

<p>LH surge. (C)</p> Signup and view all the answers

Which is a cause of male infertility?

<p>Motility dysfunction (C)</p> Signup and view all the answers

What factor released by Sertoli cells inhibits FSH secretion?

<p>Inhibin (C)</p> Signup and view all the answers

What role do the gap junctions between cumulus oophorus cells and the oocyte play before ovulation?

<p>They maintain meiotic arrest in the oocyte. (D)</p> Signup and view all the answers

What is created in the antrum of the tertiary follicle that contributes to ovulation?

<p>Production of hyaluronic acid and water. (D)</p> Signup and view all the answers

Which type of ovarian follicle is characterized as a morpho-functional integrated unit with the oocyte?

<p>Mature follicle (D)</p> Signup and view all the answers

What initiates the rupture of the follicular wall during ovulation?

<p>An inflammatory reaction in follicle cells. (B)</p> Signup and view all the answers

At what stage do all oogonia of primordial follicles enter meiosis I?

<p>By the 5th month of gestation (A)</p> Signup and view all the answers

Which of the following is NOT a recognized cause of male infertility?

<p>High estrogen levels in the bloodstream (D)</p> Signup and view all the answers

During the gonadotropin-sensitive phase of follicle maturation, what is expected?

<p>Follicles become more responsive to FSH and LH. (A)</p> Signup and view all the answers

What type of granulosa cells is found in primary ovarian follicles?

<p>Simple cuboidal (A)</p> Signup and view all the answers

How are the follicular cells connected to the oocyte?

<p>Via the zona pellucida (C)</p> Signup and view all the answers

What is the purpose of measuring Crown Rump Length (CRL) in the first trimester?

<p>To determine the gestational age of the fetus (D)</p> Signup and view all the answers

During which period is the embryo most susceptible to teratogenic effects?

<p>Weeks 3-8 (A)</p> Signup and view all the answers

Which of the following is NOT a factor that contributes to birth defects?

<p>Maternal age (D)</p> Signup and view all the answers

What is the primary characteristic of the resistant period in embryonic development?

<p>Either the embryo dies or survives unaffected (A)</p> Signup and view all the answers

What type of inheritance involves both genetic and environmental factors in the development of birth defects?

<p>Multifactorial inheritance (D)</p> Signup and view all the answers

What is the role of the LMNA gene in fetal development?

<p>It codes for the main component of the nuclear membrane. (A)</p> Signup and view all the answers

Which phase of human embryology involves the reshaping of the embryo into a tube-within-a-tube structure?

<p>Gastrulation (A)</p> Signup and view all the answers

What major change occurs during the organogenesis phase of embryonic development?

<p>Morphogenesis of organ structures (C)</p> Signup and view all the answers

What happens during the lower susceptibility period of fetal development?

<p>Only functional alterations can occur (A)</p> Signup and view all the answers

In addition to genetic factors, which other elements are known to affect fetal development?

<p>Nutrition and maternal stress (A)</p> Signup and view all the answers

What is primarily responsible for maintaining the diplotene stage during meiosis I?

<p>Interaction between oocytes and follicles (D)</p> Signup and view all the answers

How do follicular cells transport signals to the oocyte?

<p>Via gap junctions and microvilli (D)</p> Signup and view all the answers

What role does cyclicGMP play in the interaction between oocytes and follicles?

<p>It inhibits the Phosphodiesterase enzyme (B)</p> Signup and view all the answers

What structure forms between the apical surface of follicular cells and the plasma membrane of the oocyte?

<p>Zona pellucida (D)</p> Signup and view all the answers

What do granulosa cells express in growing follicles?

<p>FSH receptors (B)</p> Signup and view all the answers

What happens to primordial follicles during folliculogenesis?

<p>They develop into primary follicles (A)</p> Signup and view all the answers

What is one of the roles of glycoproteins in the zona pellucida?

<p>Aid in sperm recognition (D)</p> Signup and view all the answers

Which of the following processes initiates the transition from primordial to primary follicles?

<p>Initiation of folliculogenesis (C)</p> Signup and view all the answers

What components make up the ovulated complex?

<p>Ovum, zona pellucida, corona radiata, sticky matrix (B)</p> Signup and view all the answers

What is Mittleschmerz and what causes it?

<p>It is abdominal pain during ovulation caused by follicular enlargement. (B)</p> Signup and view all the answers

What happens to the corpus luteum if the oocyte is fertilized?

<p>It becomes a gravidic corpus luteum and stays functional for 5-6 months. (A)</p> Signup and view all the answers

What is the role of human chorionic gonadotropin (HCG) after fertilization?

<p>It is generated by the blastocyst to maintain the corpus luteum. (B)</p> Signup and view all the answers

What transformation occurs when the corpus luteum ceases hormonal production?

<p>It turns into corpus albicans, a scar tissue. (B)</p> Signup and view all the answers

What is the main function of the zona pellucida?

<p>To protect the ovum and facilitate fertilization. (D)</p> Signup and view all the answers

Lgr5+ positive stem cells are associated with which aspect of ovarian physiology?

<p>They renovate the ovarian germinative epithelium after each ovulation. (D)</p> Signup and view all the answers

What primarily causes the color change of the corpus luteum?

<p>Accumulate of hormonal secretions post-ovulation. (B)</p> Signup and view all the answers

Flashcards

Maximum Susceptibility Period

The time period during fetal development when organs are most susceptible to developmental defects, typically from week 3 to 8.

Teratogens

Chemical, physical, or biological agents that can cause harm to a developing fetus, potentially leading to birth defects.

Fetal Period

The prenatal period spanning weeks 9 to 38, characterized by organ maturation and growth.

Gametogenesis

The process of producing gametes (sex cells) - sperm in males and eggs in females.

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Fertilization

The process of a sperm cell fertilizing an egg cell, marking the beginning of pregnancy.

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Cleavage

The early stages of embryonic development characterized by rapid cell division.

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Gastrulation

The process of forming the three primary germ layers (ectoderm, mesoderm, and endoderm) which give rise to all other tissues and organs in the body.

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Morphogenesis

The process of forming the basic structure and shape of the body, including the development of organ rudiments.

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Organogenesis

The process of organ development, including the formation of specialized tissues and structures.

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Hutchinson-Gilford Progeria Syndrome

A genetic disorder caused by a mutation in the LMNA gene, leading to accelerated aging and premature death.

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Folliculogenesis

The process of a primordial follicle developing into a primary follicle.

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Zona Pellucida

A layer of glycoproteins and glycosaminoglycans that surrounds the oocyte in the primary follicle.

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Cyclic AMP (cAMP)

A second messenger molecule that plays a role in regulating oocyte maturation.

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Gap Junctions

Special junctions that allow communication between the oocyte and follicular cells.

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Diplotene Stage (Meiosis I)

The stage of meiosis where the oocyte is arrested before fertilization.

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Granulosa Cells

The cells surrounding the oocyte in a growing follicle that start to express receptors for FSH.

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Granulosa

The layer of cells that surrounds the oocyte in the growing follicle, formed by the developing granulosa cells.

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Follicle-Stimulating Hormone (FSH)

The hormone that stimulates follicle growth and development.

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Sertoli Cell Estrogen Production

Sertoli cells within the testes convert a portion of testosterone into estrogens. These estrogens then travel back to the Leydig cells, working in a paracrine fashion, alongside a stimulating factor.

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Inhibin's Role in FSH Regulation

Inhibin, produced by Sertoli cells, negatively regulates the secretion of FSH from the pituitary gland. Inhibin travels through the bloodstream to reach the pituitary, acting as a feedback mechanism.

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Causes of Male Infertility

Sperm count below 10 million per ml of semen, impaired sperm movement, abnormal sperm morphology, alterations in sperm genetic material, medication side effects, hormonal imbalances, environmental factors, smoking, and blockages within the reproductive tract are all potential causes of male infertility.

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Oogenesis: What is it?

The process of egg development within the female reproductive system, involving the maturation of both the oocyte (egg) and its surrounding follicle.

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Primordial Follicles Definition

Immature follicles containing oogonia (egg precursor cells) surrounded by a single layer of squamous granulosa cells, which are somatic cells that contribute to oocyte development.

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Primary Follicles: Description

These follicles consist of the oocyte surrounded by a simple cuboidal layer of granulosa cells, indicating an initial stage of development.

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Mature Follicles (Graafian)

These follicles, also known as Graafian follicles, contain a mature oocyte and a layered, stratified arrangement of granulosa cells, signifying the advanced maturity of the developing egg.

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Zona Pellucida: Role in Oocyte Maturation

These cell junctions, found between follicular cells and the oocyte, facilitate communication and exchange of essential molecules for oocyte maturation.

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Gonadotropin-independent phase

The initial phase of follicle development where follicles grow independently of gonadotropins.

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Gonadotropin-sensitive phase

The phase where follicles become responsive to gonadotropins, particularly FSH, and start growing rapidly.

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Gonadotropin-dependent phase

The phase where follicles rely on gonadotropins for survival and growth. If they don't receive enough gonadotropin, they die.

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Mature Graafian follicle

The mature follicle that becomes independent of FSH and starts releasing inhibin, inhibiting further FSH production.

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Meiosis I resumption

The resumption of meiosis I in the oocyte, triggered by an LH surge, leading to the formation of the secondary oocyte.

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Estrogen production

The process where the follicular cells surrounding the oocyte produce estrogen and estradiol, preparing the female reproductive tract for fertilization and implantation.

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Stigma

The region on the surface of the ovary where the Graafian follicle will rupture during ovulation.

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Ovulation

The release of the mature ovum from the Graafian follicle, triggered by an LH surge and characterized by follicular wall rupture.

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What is the first barrier sperm face in the vagina?

The vaginal environment is acidic (low pH), which is harmful to sperm. Seminal fluid temporarily buffers this acidity, allowing sperm to reach the cervix, where the pH is more suitable for swimming.

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How does cervical mucus help or hinder sperm passage?

During ovulation, the cervical mucus becomes more fluid, allowing some sperm to pass through. This allows for fertilization to occur.

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Describe the fast phase of sperm passage.

Sperm can quickly reach the uterine tube, but they are less likely to fertilize the egg at this time due to the egg's location and sperm's immaturity. Movement in this phase is primarily due to the contractions of the female reproductive tract.

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What is the slow phase of sperm passage?

Sperm travel slower through the cervical mucus, allowing for maturation. Some sperm may be stored in the cervical crypts for a couple of days, increasing their chances of fertilization.

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Why do sperm bind to the isthmus of the uterine tube?

Sperm bind to the isthmus of the uterine tube for 24 hours to undergo capacitation, a process that removes glycoproteins and cholesterol. This allows sperm to become hyperactive and bind to the zona pellucida of the egg.

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What are the key changes that happen during capacitation?

Capacitation involves changes in the sperm's plasma membrane making it more fluid and permeable. This also leads to increased motility, protein phosphorylation, protein kinase activity, bicarbonate concentration, and intracellular pH, Ca++ and cAMP levels.

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How do capacitated sperm break free from the isthmus?

Sperm become hyperactive in bursts to break free from the isthmus and reach the ampulla, where they can meet the egg.

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Where does fertilization typically occur?

The ampulla is the meeting place for the oocyte and sperm. The egg is slowly moving towards the uterus.

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What is the ovulated complex?

The ovum is the female gamete, a secondary oocyte surrounded by a protective layer called the zona pellucida. The corona radiata, part of the cumulus oophorus, further envelops the oocyte. This entire structure, including the surrounding fluid containing hyaluronic acid, is known as the ovulated complex.

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What are Lgr5+ cells?

Leucin-rich-containing G-protein-coupled receptor 5 (Lgr5) is a marker found on stem cells in various organs, including the ovaries. These stem cells are responsible for regenerating the ovarian epithelium after ovulation.

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What is mittelschmerz?

Mittleschmerz refers to pain experienced by some women around the time of ovulation. This pain can be caused by the expansion of follicles before ovulation or by slight bleeding in the abdominal cavity after the follicle ruptures.

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What is the corpus luteum?

The corpus luteum is a yellowish structure that forms in the ovary after ovulation. It arises from the collapsed theca and granulosa cells of the follicle. It plays a crucial role in hormone production, primarily progesterone and estrogen, to prepare the uterine lining for a potential pregnancy.

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What happens to the corpus luteum after ovulation?

The corpus luteum's life span is about 2 weeks. If fertilization occurs, the corpus luteum becomes the 'gravidic corpus luteum' and remains functional for several months. If fertilization does not occur, it degenerates into the 'menstrual corpus luteum' and eventually becomes the corpus albicans, a scar tissue.

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How is the ovulated complex captured?

After ovulation, the ovulated complex is captured by the fimbriae, finger-like projections at the end of the fallopian tube. This 'egg capture' is crucial for the egg to reach the uterus for potential fertilization.

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What is HCG and what is its role?

Human chorionic gonadotropin (HCG) is a hormone produced by the developing embryo, specifically the syncytiotrophoblast. Its primary function is to maintain the corpus luteum's functionality, ensuring continued hormone production during early pregnancy.

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How does the corpus haemorrhagicum transform into the corpus luteum?

The corpus luteum transforms from the corpus haemorrhagicum after ovulation. This transformation involves luteinization, leading to a whiter appearance, increased size, and enhanced hormone production due to a rich vascular network.

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Study Notes

Human Development

  • Periods of Development: Medical viewpoint divides development into three trimesters. Embryological viewpoint categorizes development into three phases: the preimplantation period (zygote to blastocyst), the embryonic period (implantation to 8th week), and the fetal period (8th week onward).

  • Dating Pregnancy: Dating pregnancy can be determined by either the estimated fertilization age (difficult to calculate) or the onset of the last menstrual period (LMP), typically 40 weeks.

  • Estimated Due Date (EDD): The EDD is often estimated based on the LMP, but a 28-day menstrual cycle is an assumption, and actual cycles can vary.

  • Crown Rump Length (CRL): CRL is measured during the first trimester by ultrasound to accurately determine gestational age.

  • Teratogens: A teratogen is a chemical, physical, or biological agent that can harm the embryo/fetus, particularly in early development.

Birth Defects

  • Causes: Birth defects have genetic (chromosomal abnormalities, genes mutations) and environmental (drugs, alcohol, viruses, radiations, chemicals) causes, or a combination.

  • Unknown Causes: 50-60% of birth defects have unknown causes.

  • Hutchinson-Gilford Progeria Syndrome: LMNA gene mutations lead to accelerated aging in children, often resulting in death in their teens or 20s.

Embryology Phases

  • Gametogenesis: The process of creating gametes.

  • Fertilization: The union of an egg and sperm.

  • Cleavage: Early cell divisions in the zygote.

  • Gastrulation: Forming the three primary germ layers (ectoderm, mesoderm, endoderm).

  • Morphogenesis: Development of body form (folding, tube-within-a-tube structure).

  • Organogenesis: Formation of organs.

Meiosis in Females and Males

  • Females: Meiosis is synchronous, starting in the 5th month of pregnancy and only completed at ovulation.

  • Males: Meiosis is asynchronous, continuing from puberty throughout life.

Spermatogenesis

  • Types of Cells: Spermatogenesis involves spermatogonia, primary spermatocytes, secondary spermatocytes, spermatids, and spermatozoa.

  • Sertoli Cells: Support and nourish developing sperm.

  • Leydig Cells: Endocrine cells that produce testosterone.

  • Blood-Testis Barrier: This barrier isolates developing sperm from the immune system.

  • Spermiogenesis: The process of transforming spermatids into mature spermatozoa.

Oogenesis

  • Primordial Follicles: Oogonia and surrounding support cells form primordial follicles.
  • Growing Follicles: Primordial follicles develop into primary, secondary, and mature (Graafian) follicles.
  • Ovarian Follicle Function: Produce estrogens and other hormones and support oocyte maturation.
  • Ovulation: Release of the mature ovum from the ovary.
  • Ovulated Complex Components: Ovum, zona pellucida, corona radiata, cumulus oophorus.

Fertilization

  • Egg Capture by Fimbriae: The ovulated complex is captured by fimbriae at the ovarian end of uterine tube(Fallopian tube).

  • Sperm Capacitation: Chemical and physical changes in sperm allowing fertilization to occur in the female reproductive tract (removal of protective coating, changes in sperm membrane etc.)

  • Sperm Chemotaxis: Sperm move towards the oocyte through chemical gradients released by the oocyte.

  • Acrosomal Reaction: Enzymes released from the sperm head enable it to penetrate the zona pellucida.

  • Sperm Penetration of Zona Pellucida: The sperm head binds to the zona pellucida of the egg.

  • Fusion of Membranes: The sperm and egg membranes fuse; the sperm nucleus enters the cytoplasm.

Additional Info

  • Corpus Luteum: Temporary endocrine structure in the ovary that produces hormone, progesterone, as a result of ovulation.
  • Hormonal Regulation: Hypophysis (pituitary gland) controls spermatogenesis and oogenesis with FSH, LH and testosterone.
  • Infertility: Factors affecting fertility can be genetic, environmental, or other causes.

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Description

This quiz explores key concepts in human development and the factors affecting birth defects. It covers developmental periods, estimating pregnancy dates, and the impact of teratogens. Test your understanding of these crucial topics in prenatal health.

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