Obstetrics and Gynecology Board Review Pearls of Wisdom

(Elliott) #1

23


Physiology of Normal


Pregnancy


Chapter 3


Remington Horesh, OMSII


❍ What percentage of human chorionic gonadotropin (hCG) is carbohydrate?
30%. It has the most CHO content of all human hormones.


❍ What is the plasma half-life of intact hCG?
24 hours.


❍ hCG is structurally related to what three other glycoprotein hormones?
Luteinizing hormone (LH), follicle-stimulating hormone (FSH), and thyroid-stimulating hormone (TSH).


❍ How are the four hormones hCG, LH, FSH, and TSH structurally related?
Each has an identical alpha-subunit with a unique beta subunit.


❍ What chromosome codes for the alpha-subunit of hCG?
Chromosome 6 q12-q21 (a single gene).


❍ What chromosome codes for the beta subunit of hCG?
Chromosome 19 (seven separate genes).


❍ What is the major source of hCG?
Placental syncytiotrophoblast.


❍ At what gestational age, does hCG peak?
8 to 10 weeks.


❍ What is a blood pregnancy test measuring?
The beta subunit of the intact hCG molecule.

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