NBME Step 2 CK Form 7 Clomiphene (NBME Answers)

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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#26 (reveal difficulty score)
A 32-year-old nulligravid woman with ...
Clomiphene 🔍 / 📺 / 🌳 / 📖
tags: repro

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submitted by ∗jlbae(159)

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Wow I actually learned something in the toxic hellhole that was my ob/gyn rotation

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submitted by ∗step_prep5(246)

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PCOS patient who does not wish to become pregnant: Dual estrogen-progestin OCPs
PCOS patient who wants to become pregnant: Clomiphene (antagonists at estrogen receptors in hypothalamus –> prevents normal feedback inhibition –> increased release of LH and FSH from pituitary –> stimulates ovulation)
Note: PCOS patients with all types of fertility goals would benefit from weight loss

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lindasmith462 letrozole is the new pharmacologic first line just in case that pops up on newer exams +3

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