UWorld-Reproductive

Question 1

in an infertile woman what specific treatment can be given to induce follicle maturation and what specific treatment can be given to induce an LH surge

Answer 1

menotropins (human menopausal gonadotropin) can be given to induce follicle maturation

a large dose of hCG can be given to induce LH surge to promote ovulation

Question 2

a baby whose mother had gestational diabetes will have what kind of glucose levels when born?
what will the baby’s birth weight be like?

Answer 2

maternal glucose crosses the membrane (without insulin) causing the fetus to increase its insulin production;
when born the baby will have transient hypoglycemia as a result
the baby will also experience fetal and neonatal macrosomia (high birth weight)

Question 3

what are the neonatal complications/symptoms of gestational diabetes

Answer 3

premature delivery, fetal and neonatal macrosomia, transient hypoglycemia, hypocalcemia, neural tube defects (e.g. cadaul regression syndrome), polycythemia, respiratory distress, transient hypertrophic cardiomyopathy

Question 4

when a woman is anorexic, by what mechanism does she become amenorrheic

Answer 4

pulsatile GnRH halts once the body’s fat levels drop below a certain threshold