PCOS

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

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)

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

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.

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).

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.

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question