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NBME 22 Answers

nbme22/Block 3/Question#32 (26.1 difficulty score)
A 25-year-old woman comes to the physician ...
Fasting insulin: increased;
Testosterone: increased;
Luteinizing hormone: increased
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 +6 
submitted by mcl(579),
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aetPitn lkiley hsa PCOS. PCSO is scaiaotsed ihtw eeatledv lelsev of LH romf hte p,tiiytrau wcihh tesulmaist vrasioe to eodrucp easrcendi nutmsao fo xse dtosries nlgnc(diui erondsnga t&--g; simit.ir)uhs intndeeesAndoro si doncvrtee ot rnotees ni isce,todyap hhiwc selrsut ni siltl heurfrt driseacne erseael of L.H yebtisO and nlusini ainrteecss si asecosaitd twhi .CPSO




 +1 
submitted by surfacegomd(1),

FA 2020 654

"Hyperinsulinemia and/or insulin resistance hypothesized to alter hypothalamic hormonal feedback response higher LH:FSH, higher androgens (eg, testosterone) from theca interna cells, and decrease rate of follicular maturation producing unruptured follicles (cysts) + anovulation"

surfacegomd  correction FA 645* +