PCOS

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Question 1 of 6

1. Question
1. All are true regarding Endocrinology in PCOS except
- A. Normal or elevated testosterone
- B. Increased fasting insulin
- C. Decreased SHBG
- D. Normal AMH
- E. Prolactin slightly elevated
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Question 2 of 6

2. Question
2. 32year old Indian woman with BMI32 kg/m2, with oligomenorrhoea and hirsutism, on USG -she has bilateral polycystic ovaries. Her mother and sister do have similar complaints. All are true regarding inheritance of PCOS except
- A. PCOS also appears to run in families, with approximately 30%of first-degree female relatives being affected
- B. An increased risk of metabolic problems in male relatives.
- C. Because of racial differences in the color and distribution of hair or variations in hormone production and receptor activity
- D. Type 2 Diabetes and insulin resistance increased in South Asian women
- E. South Asian women have more severe symptoms than white Caucasian women. There have been numerous studies attempting to ascertain the gene(s)
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Question 3 of 6

3. Question
3. The resolution of ultrasound technology – it has more recently been suggested that the threshold number of follicles to define a polycystic ovary should be
- A. 6
- B. 10
- C. 15
- D. 25
- E. 20
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Question 4 of 6

4. Question
4. Regarding The measurement of waist circumference in woman diagnosed to have polycystic ovaries, all are true except
- A. It indicates risk of cardiovascular risk more than BMI
- B. Waist circumference of 80cm indicates significant risk.
- C. Exercise has a significant effect on reducing visceral fat
- D. 10% reduction of body weight may equate with a 30% reduction in visceral fat
- E. Waist circumference, which detects abdominal visceral fat rather than subcutaneous fat.
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Question 5 of 6

5. Question
5. Insulin resistance and PCOS
- A. Only seen in obese woman
- B. Routinely fasting blood glucose level are measured
- C. GTT performed when BMI >25 kg/me irrespective of ethnicity
- D. Insulin increases synthesis of SHBG.
- E. Oligomenorrheic women are also more likely to be insulin resistant than others irrespective of their body mass index (BMI).
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Question 6 of 6

6. Question
6. Suzy, 14year old girl presented with excessive facial hair, irregular cycle. In adolescent girls to diagnose PCOS all are considered except
- A. The diagnosis of PCOS should not be made until 2 years after menarche.
- B. Two out of three elements of the Rotterdam consensus are required for diagnosing PCOS during adolescence
- C. Progressive hirsutism during the adolescent years may be an important sign of PCOS
- D. In prevalent populations, it’s important to exclude nonclassical (late onset) congenital adrenal hyperplasia,
- E. In adolescence, with up to 65% having anovulatory cycles.
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