Deck · USMLE Step 1

Reproductive

Reproductive embryology and endocrine physiology, male and female pathology, breast disease, pregnancy and placental disorders, STIs, and reproductive pharmacology.

95 cards · audited · SM-2 spaced repetition

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Included with the full USMLE Step 1 program — 14 decks, 1,546 cards.

Sample cards

1

What is the genetic and gonadal basis of the default (indifferent) pathway of sexual differentiation?

Without a Y chromosome (and its SRY gene), the indifferent gonad develops into an ovary and the default phenotype is female. SRY drives testis development.

2

What does SRY induce, and what hormones do the resulting cells secrete?

SRY induces testis development: Sertoli cells secrete Müllerian inhibitory factor (MIF/AMH) and Leydig cells secrete testosterone.

3

What do the Müllerian (paramesonephric) ducts develop into in females?

Fallopian tubes, uterus, cervix, and the upper one-third of the vagina.

4

What do the Wolffian (mesonephric) ducts develop into, and what drives this?

Driven by testosterone, the Wolffian ducts form the seminal vesicles, epididymis, ejaculatory duct, and ductus deferens (SEED).

5

What is the role of dihydrotestosterone (DHT) in male genital development?

DHT (converted from testosterone by 5α-reductase) drives development of the prostate, penis, scrotum, and male external genitalia.

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