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Polycystic ovary syndrome — DRCOG MCQ

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HardGynaecologyPolycystic ovary syndromeDRCOG

A woman has oligomenorrhoea, acne, hirsutism and biochemical hyperandrogenism consistent with PCOS. What additional health assessment is important?

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Correct answer: BAssess cardiometabolic risk including blood pressure and glucose status

The best answer is “Assess cardiometabolic risk including blood pressure and glucose status”. PCOS is associated with cardiometabolic risk, so assessment should include factors such as blood pressure and glycaemic status, with lifestyle support and follow-up tailored to risk. CA125, annual cervical screening and laparoscopy are not routine PCOS monitoring. Pregnancy testing is appropriate when pregnancy is a plausible explanation for amenorrhoea, not as serial surveillance.

Reference: NICE CKS: Polycystic ovary syndrome: https://cks.nice.org.uk/topics/polycystic-ovary-syndrome/