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Polycystic ovary syndrome — MCCQE Part 1 MCQ

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EasyInfertilityPolycystic ovary syndromeMCCQE Part 1

A 26-year-old woman has irregular menses, acne and hirsutism. Pregnancy test is negative; TSH and prolactin are normal and ultrasound shows polycystic ovarian morphology. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Polycystic ovary syndrome

Oligo-ovulation plus clinical hyperandrogenism and polycystic ovarian morphology supports PCOS after exclusion of mimics. Premature ovarian insufficiency typically has high FSH and hypoestrogenic symptoms. PCOS management includes metabolic risk assessment and cycle protection, not only cosmetic treatment.

Reference: SOGC polycystic ovary syndrome guideline; Diabetes Canada metabolic screening resources