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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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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; 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

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* +