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7 Cards in this Set

  • Front
  • Back
What is the initiating event of puberty?
Increased GnRH pulsing which stimulates LH & FSH secretion
What is the first manifestation of gonadal axis function:

In males?

In females?
Testicular growth (onset at 11.5)

Breast budding (thelarche)
True or False

hCG administration in a patient who has vanishing testes syndrome WILL increase testosterone levels
False

It will NOT, it will only increase if they have cryptorchidism
What is the main mechanism by which OCP's work?
Decreasing LH & FSH
If a male patient comes in with low levels of GnRH, FSH, LH, and sex hormones but does NOT lack any sense of smell what does he most likely have?

Is this primary or secondary hypogonadism?
Abnormal Kisspeptin signaling (KISS1) = isolated gonadotropin deficiency

Secondary hypogonadism
In a patient that has complete pituitary dysfunction, what is the order in which the hormones decrease?
1st GnRH & GH
2nd TSH
3rd ACTH
What are two medications known to produce androgen resistance = high testosterone, low sperm, and low LH?
Cimetidine

Spironolactone