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Embryology · USMLE Step 1

USMLE Embryology: Reproductive System Development

Genital ridge formation, mesonephric and paramesonephric duct fates, and gonadal descent tested on USMLE Step 1.

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What embryonic tissue gives rise to the genital ridge?
Intermediate mesoderm
What is the 'indifferent gonad'?
The undifferentiated gonad present in both XX and XY embryos before sex-specific differentiation begins
Which gene on the Y chromosome initiates testis development?
SRY (sex-determining region Y)
Which fetal testicular cells secrete anti-Mullerian hormone (AMH)?
Sertoli cells
Which fetal testicular cells secrete testosterone?
Leydig cells
What is the main effect of anti-Mullerian hormone (AMH) on duct development?
It causes regression of the paramesonephric (Mullerian) ducts
What hormone stimulates the mesonephric (Wolffian) ducts to develop into male internal genital structures?
Testosterone
Mesonephric duct
Wolffian duct
Paramesonephric duct
Mullerian duct
What three structures does the mesonephric (Wolffian) duct give rise to in males?
Epididymis, vas deferens, and seminal vesicle
What three structures does the paramesonephric (Mullerian) duct give rise to in females?
Fallopian tubes, uterus, and cervix
What is the gubernaculum?
A cord of tissue that guides descent of the gonad toward the inguinal region
In males, what does the gubernaculum become?
A ligament anchoring the testis within the scrotum
In females, what does the proximal part of the gubernaculum become?
The ovarian ligament
In females, what does the distal part of the gubernaculum become?
The round ligament of the uterus

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