Reproductive Medicine · USMLE Step 1

USMLE Reproductive Medicine

Reproductive endocrinology, menstrual cycle physiology, and classic reproductive tract pathology tested on USMLE Step 1.

40 cards · basic cards · AI-written, checked twice. Edit anything.

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Where is GnRH secreted from?
The hypothalamus (arcuate nucleus)
What happens to gonadotropin release with continuous, non-pulsatile GnRH administration?
It is suppressed (downregulates GnRH receptors)
What is the primary action of FSH on the ovarian follicle?
Stimulates granulosa cell growth and estrogen production
What hormonal event triggers ovulation?
The LH surge
In the two cell, two gonadotropin model, ____ cells produce androgens in response to LH stimulation.
theca
Granulosa cells convert androgens into estrogen using the enzyme ____, under FSH stimulation.
aromatase
Which hormone dominates the follicular phase of the menstrual cycle?
Estrogen, from the dominant follicle
Which hormone dominates the luteal phase of the menstrual cycle?
Progesterone, from the corpus luteum
What effect does progesterone have on the endometrium?
Converts it to a secretory, glandular state
What effect does estrogen have on the endometrium?
Drives proliferation of glands and stroma
What happens to basal body temperature after ovulation?
It rises, due to progesterone
What hormone maintains the corpus luteum in early pregnancy?
hCG, human chorionic gonadotropin
What cell type produces hCG?
Syncytiotrophoblast
What is the function of inhibin B?
Inhibits FSH secretion (from granulosa cells in females, Sertoli cells in males)
How does prolactin affect the reproductive axis?
Inhibits GnRH release, causing lactational amenorrhea

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