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Questions

The Rotterdam guideline states a woman must have two out of three symptom criteria for diagnosis of polycystic ovary syndrome (PCOS). Which of the following symptom sets has the correct three criteria considered for PCOS diagnosis?

A. Hyperandrogenism, oligo- or anovulation, polycystic ovaries

B. Hyperandrogenism, polycystic ovaries, insulin resistance

C. Polycystic ovaries, insulin resistance, obesity

D. Oligo- or anovulation, polycystic ovaries, obesity

A. The Rotterdam guideline states a woman must have two of the following three criteria: hyperandrogenism/hyperandrogenemia, oligo-ovulation or anovulation, or polycystic ovaries, plus exclusion of related disorders.

B. Insulin resistance is a characteristic of PCOS but is not a diagnostic criterion.

C. Insulin resistance and obesity are characteristics of PCOS but they are not diagnostic criterion.

D. Obesity is characteristic of PCOS but is not a diagnostic criterion.

A 22-year-old woman presents with irregular menstruation occurring every 70-90 days and consistent negative ovulation tests. Which of the following assessments should be completed to determine whether she has PCOS?

A. Body mass index

B. Estrogen levels

C. Fasting glucose concentration

D. Hirsutism

D. Hirsutism is a symptom of hyperandrogenism and is common in women with PCOS. A woman who has anovulation and hirsutism would meet the criteria for a diagnosis of PCOS per the Rotterdam guideline.

A. Body mass index or body weight is not a characteristic that would help make a diagnosis of PCOS.

B. Estrogen levels do not contribute to the diagnosis of PCOS.

C. Fasting glucose concentration would indicate whether a patient has impaired fasting glucose, but this does not contribute to the diagnosis of PCOS.

A diagnosis of PCOS increases a woman's risk for which of the following long-term complications?

A. Intrauterine growth restriction during pregnancy

B. Ovarian cancer

C. Miscarriage

D. Renal impairment

C. Women with PCOS have a 30-50% risk of miscarriage. The rate of miscarriage for an average woman who does not have PCOS is 10-20%. Miscarriage risk increases with age.

A. Women with PCOS are not at increased risk for intrauterine growth restriction in pregnancy.

B. Women with PCOS are not at increased risk for ovarian ...

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