Office

Question 1

Risk of developing diabetes in PCOS

Answer 1

2-5 fold normal person

Question 2

Work up for primary ovarian insufficiency

Answer 2

measuring serum, cycle-day 3 follicle stimulating hormone (FSH) and estradiol (E2), antimüllerian hormone (AMH)
as well as ruling out other causes of oligomenorrhea/amenorrhea including a pregnancy test, thyroid function tests, and serum prolactin.

Additional workup includes karyotype, FMR1 gene premutation, and a DEXA scan to check for osteoporosis due to the hypoestrogenic state

Question 3

Contraindications to HSG

Answer 3

Pregnancy

Pelvic infection (even if the patient is receiving antibiotic therapy)

History of a severe reaction to iodinated contrast (seizure, cardiac arrest, cardiac arrhythmia, unconsciousness)

Active undiagnosed vaginal bleeding

Question 4

Conditions Leading to Theca-Lutein Cyst Development

Answer 4

Complete hydatidiform mole

Multifetal gestation

Placentomegaly

Ovarian hyperstimulation as a result of assisted reproductive technology

Question 5

What does Ferriman–Gallwey score test and what is threshold?

Answer 5

Hirsutism
8 or higher

Question 6

modifiable risk factor for breast cancer

Answer 6

alcohol use