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Reproductive Medicine · USMLE Step 1 · Healthcare and Nursing

USMLE Reproductive Medicine High-Yield Review

A condensed rapid review pass over the highest yield reproductive endocrinology and pathology facts for final week review.

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40 mixed cards for USMLE Step 1 Reproductive Medicine. It opens with "What effect does pulsatile GnRH secretion have on the anterior pituitary?" and "What happens to LH and FSH secretion when GnRH is given continuously instead of". Study it alongside the other USMLE Step 1 sets below.

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What effect does pulsatile GnRH secretion have on the anterior pituitary?
Show answerIt stimulates LH and FSH release
What happens to LH and FSH secretion when GnRH is given continuously instead of pulsatile?
Show answerSecretion is suppressed (GnRH receptor downregulation)
What event triggers ovulation?
Show answerThe LH surge
In the two-cell, two-gonadotropin theory, LH stimulates theca cells to make androgens, which granulosa cells then ____ under FSH stimulation.
Show answeraromatize into estrogen
What hormone from granulosa cells (and Sertoli cells) selectively suppresses FSH secretion?
Show answerInhibin B
What protein do Sertoli cells secrete to keep local testosterone concentrations high for spermatogenesis?
Show answerAndrogen-binding protein
Which testicular cells produce testosterone in response to LH?
Show answerLeydig cells
What structural feature do hCG, LH, FSH, and TSH share?
Show answerAn identical alpha subunit (each has a unique beta subunit for specificity)
5-alpha-reductase deficiency: genotype and typical genital appearance at birth?
Show answer46,XY with ambiguous or female-appearing external genitalia (normal testosterone, low DHT)
Complete androgen insensitivity syndrome: genotype and phenotype?
Show answer46,XY with testes present, female external genitalia, and an absent uterus with a blind-ending vaginal pouch
What is the most common cause of congenital adrenal hyperplasia?
Show answer21-hydroxylase deficiency
How does classic 21-hydroxylase deficiency present in genetic female infants?
Show answerAmbiguous genitalia from androgen excess, often with salt-wasting
Klinefelter syndrome (47,XXY): key clinical features?
Show answerTesticular atrophy, gynecomastia, and infertility
Turner syndrome (45,X0): key clinical features?
Show answerStreak ovaries, short stature, and webbed neck
What are the Rotterdam criteria for diagnosing PCOS?
Show answer2 of 3: oligo/anovulation, clinical or biochemical hyperandrogenism, and polycystic ovaries on ultrasound

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