EBCOG P1 – 3 Month – Reproductive medicine – PCOS hirsutism virilism- Day 2

A. PCOS
B. Ovarian hyperthecosis
C. Congenital adrenal hyperplasia
D. Cushing’s syndrome
E. Androgen-secreting tumour
F. Adrenal origin
G. Ovarian origin
H. Exogenous androgen administration
I. Gestational hyperandrogenism

1. A 66 yrs old woman , with excessive facial hair. Serum testosterone 10 mmol /l.

2.A 38 years old woman , presenting with Hirsuitism . On examination centripetal weight gain and abdominal striae are present . Serum cortisol level is increased .

3.A 25 yrs old woman presenting with acne . She goes to gym regularly and takes some drink to build body .

4.A 16 yrs old girl with irregular menstrual cycle , with severe acne and hirsuitism .She is 176 cm in height .

5.A 28 years old woman with irregular menstrual cycles , present8ng with infertility . On USG , Right Overy is 14cc with 16-18 follicles , Left Overy 13.6 cc with 20-24 follicles.

A. Bariatric Surgery
B. Anti obesity drugs
C. Weight reduction
D. Fetal growth restriction
E. Instrumental delivery
F. Placenta previa
G. Pre eclampsia
H. Twin Pregnancy
I. Cataract
J. Cervical cancer
K. Dyslipidemia
L. Menorrhagia
M. Thromboembolism
N. Serum testosterone
O. 17-hydroxyprogesterone
P. Free androgen index
Q. Ovarian Cancer
R. Endometrial Cancer
S. Breast Cancer

6. A 22 yr old woman presents in infertility clinic with primary infertility and irregular menses once in 3 months . Her BMI is 38 kg/m2 . On investigations she has been diagnosed as a case of PCOS . What will be your next most appropriate advise ?

7.She wants to know about the complications with her condition. What complication is associated with PCOS ?

8.She comes after 6 months with amenorrhea 4 months . You check her pregnancy test which is positive . What is the risk associated with pregnancy and PCOS ?

9.A 22 years old women presents in gynaecology clinic with complaints of change in voice , gain in weight , increased growth of facial hairs . What test will you order to differentiate between PCOS and late onset CAH ?

10.A 35 years old women with BMI 33 is a known case of PCOS .She has significant risk for developing which cancer ?