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Physiology · Female reproductive physiology: pregnancy
Sample itemIn the first trimester of pregnancy, which hormone maintains the corpus luteum so that progesterone production continues?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Human chorionic gonadotrophin from the syncytiotrophoblast
hCG shares the alpha subunit with LH and acts on the LH receptor, rescuing the corpus luteum until the placenta takes over progesterone synthesis at about 8 to 10 weeks. Its levels peak at about 10 weeks.
Option by option
A. Human placental lactogen
hPL is a metabolic hormone that raises insulin resistance and does not maintain the corpus luteum.
B. Oestriol from the fetal adrenal and placenta
Oestriol reflects fetal well-being but does not support the corpus luteum.
C. Prolactin from the maternal pituitary
Prolactin prepares for lactation and does not maintain the corpus luteum.
D. Human chorionic gonadotrophin from the syncytiotrophoblast (correct)
Correct. hCG acts as an LH analogue in early pregnancy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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