Deck 187: Hirsutism

Question 1

An obese adolescent female patient reports irregular periods and excessive acne. The provider notes an increased amount of hair on her upper back, shoulders, and upper abdomen. What will the provider do, based on these findings?

A) Consider treatment with oral contraceptive pills (OCPs)
B) Counsel her about diet, exercise, and weight loss
C) Recommend cosmetic laser hair removal
D) Refer to an endocrinologist for evaluation

Answer 1

D

Question 2

A young adult woman is unable to conceive after trying to get pregnant for over 6 months. The woman reports having had irregular periods since the onset of menarche. The provider notes that the woman is overweight, has acanthosis nigricans, and an excess hair distribution. What does the provider suspect as the most likely primary cause of these symptoms?

A) Congenital adrenal hyperplasia
B) Cushing's syndrome
C) Polycystic ovary syndrome (PCOS)
D) Type 2 diabetes

Answer 2

C

Question 3

A woman who has hirsutism with acne, and oligomenorrhea will most likely be treated with which medication to control these symptoms?

A) Finasteride
B) Levonorgestrel
C) Norgestimate
D) Spironolactone

Answer 3

C