7 board-style questions on pcos in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 22-year-old woman with PCOS presents to discuss treatment options. She is not currently trying to conceive. Her primary concerns are irregular periods (4-5 per year), moderate hirsutism, and acne. Her BMI is 26 kg/m². Fasting glucose is 94 mg/dL and lipid panel is normal. What is the most appropriate first-line treatment to address her symptoms?
A 25-year-old woman presents with irregular menstrual cycles (5-7 periods per year), moderate facial acne, and hirsutism on the upper lip and chin. Her BMI is 29 kg/m². Laboratory results show total testosterone 68 ng/dL (normal <45), DHEA-S normal, 17-hydroxyprogesterone normal, TSH normal, and prolactin normal. Pelvic ultrasound shows bilateral ovaries with >=20 peripheral follicles each. What is the most likely diagnosis?
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