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

D

Accepted Answer

The combination of irregular periods, acne, and excess hair growth suggests a possible endocrine disorder such as polycystic ovary syndrome (PCOS). Referring the patient to an endocrinologist for further evaluation and treatment is the appropriate course of action. While OCPs may be used to regulate menstrual cycles and manage acne, they do not address the underlying endocrine issue. Counseling on diet, exercise, and weight loss is important for overall health, but may not resolve the hormonal imbalances. Cosmetic hair removal may improve the patient's self-esteem, but it does not address the underlying issue that may require medical intervention.

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

C

Accepted Answer

The symptoms described (irregular periods, overweight, acanthosis nigricans, excess hair distribution) are all common characteristics of polycystic ovary syndrome (PCOS). PCOS is a hormonal disorder that affects women of reproductive age and is a common cause of infertility.

Question 3

A woman who has hirsutism with acne, and oligomenorrhea will most likely be treated with which medication to control these symptoms?&#10;A) Finasteride&#10;B) Levonorgestrel&#10;C) Norgestimate&#10;D) Spironolactone

Accepted Answer

C

Deck 187: Hirsutism