A condensed rapid review pass over the highest yield reproductive endocrinology and pathology facts for final week review.
40 cards · mixed cards · AI-written, checked twice. Edit anything.
- What effect does pulsatile GnRH secretion have on the anterior pituitary?
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It stimulates LH and FSH release
- What happens to LH and FSH secretion when GnRH is given continuously instead of pulsatile?
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Secretion is suppressed (GnRH receptor downregulation)
- What event triggers ovulation?
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The LH surge
- In the two-cell, two-gonadotropin theory, LH stimulates theca cells to make androgens, which granulosa cells then ____ under FSH stimulation.
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aromatize into estrogen
- What hormone from granulosa cells (and Sertoli cells) selectively suppresses FSH secretion?
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Inhibin B
- What protein do Sertoli cells secrete to keep local testosterone concentrations high for spermatogenesis?
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Androgen-binding protein
- Which testicular cells produce testosterone in response to LH?
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Leydig cells
- What structural feature do hCG, LH, FSH, and TSH share?
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An identical alpha subunit (each has a unique beta subunit for specificity)
- 5-alpha-reductase deficiency: genotype and typical genital appearance at birth?
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46,XY with ambiguous or female-appearing external genitalia (normal testosterone, low DHT)
- Complete androgen insensitivity syndrome: genotype and phenotype?
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46,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?
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21-hydroxylase deficiency
- How does classic 21-hydroxylase deficiency present in genetic female infants?
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Ambiguous genitalia from androgen excess, often with salt-wasting
- Klinefelter syndrome (47,XXY): key clinical features?
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Testicular atrophy, gynecomastia, and infertility
- Turner syndrome (45,X0): key clinical features?
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Streak ovaries, short stature, and webbed neck
- What are the Rotterdam criteria for diagnosing PCOS?
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2 of 3: oligo/anovulation, clinical or biochemical hyperandrogenism, and polycystic ovaries on ultrasound