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Pharmacology · USMLE Step 1 · Healthcare and Nursing

USMLE Pharmacology: Reproductive and Hormonal Drugs

Contraceptives, SERMs, and hormone therapy drugs with mechanism of action, distinct from the diabetes and thyroid focus of the endocrine drugs deck.

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38 mixed cards for USMLE Step 1 Pharmacology. Set 16 of 19 in USMLE Pharmacology. It opens with "What is the primary mechanism by which combined oral contraceptives (COCs)" and "Which hormone component of combined oral contraceptives thickens cervical mucus". Study it alongside the other USMLE Step 1 sets below.

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What is the primary mechanism by which combined oral contraceptives (COCs) prevent pregnancy?
Show answerThey suppress the LH surge, preventing ovulation.
Which hormone component of combined oral contraceptives thickens cervical mucus to impede sperm?
Show answerThe progestin component.
How do progestin-only pills prevent pregnancy?
Show answerBy thickening cervical mucus and thinning the endometrium.
Leuprolide belongs to what drug class?
Show answerGnRH agonist.
What happens to gonadotropin release with continuous, non-pulsatile GnRH agonist therapy?
Show answerGnRH receptors downregulate, suppressing LH and FSH release.
What is the flare effect seen at the start of GnRH agonist therapy?
Show answerA transient rise in testosterone or estrogen before sustained hormone suppression occurs.
Leuprolide is used in the treatment of which cancer?
Show answerProstate cancer.
Besides prostate cancer, leuprolide is used to treat which gynecologic condition?
Show answerEndometriosis.
Ganirelix and cetrorelix belong to what drug class?
Show answerGnRH antagonists.
What is the main clinical use of GnRH antagonists such as ganirelix?
Show answerPreventing a premature LH surge during controlled ovarian stimulation for IVF.
What is the mechanism of action of mifepristone?
Show answerIt is a progesterone receptor antagonist.
What is the main clinical use of mifepristone?
Show answerMedical abortion, given together with misoprostol.
What role does misoprostol play in medical abortion regimens?
Show answerAs a prostaglandin E1 analog, it ripens the cervix and induces uterine contractions.
What is the mechanism of action of ulipristal acetate?
Show answerIt is a selective progesterone receptor modulator.
What is the main clinical use of ulipristal acetate?
Show answerEmergency contraception.

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