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PCOS — MCCQE Part 1 MCQ

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EasyInfertilityPCOSMCCQE Part 1

A 26-year-old woman has inability to conceive x 12 months, irregular cycles (35-60 day), acne, BMI 32. US: bilateral ovaries >12 peripheral follicles. Testosterone mildly elevated. TSH/prolactin normal. Most likely diagnosis?

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Correct answer: C — Polycystic ovary syndrome

Rotterdam criteria (2 of 3): oligo/anovulation, hyperandrogenism, polycystic morphology. PCOS = most common anovulatory infertility. SOGC: letrozole first-line for ovulation induction (superior to clomiphene).

Reference: SOGC PCOS Guideline