Polycystic Ovary Syndrome – Board-Style Questions

What this deck covers

polycystic ovary syndrome in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Too soon to say
2. Two features needed
3. Not the scan
4. Before the label
5. A warning sign
6. Measuring hair
7. Which blood test
8. Spots
9. Before the pill
10. No periods for months
11. Patience with hair
12. Adding an anti-androgen
13. Checking the metabolism
14. A little goes a long way
15. At every visit
16. Not yet a label
17. Will I have children
18. Pregnant later

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: She has polycystic ovary syndrome and needs treatment, Both irregular cycles and hyperandrogenism, It is essential to confirm the diagnosis, Start treatment and see whether her symptoms respond, An androgen-secreting tumour, A photograph taken at each visit, Serum oestradiol, Oral isotretinoin started this week, Her mother’s clot at the age of 38, Nothing, as amenorrhoea is harmless in PCOS, The pill will never help hair growth, A normal thyroid function test first, Glucose status and lipids at diagnosis, Weight loss makes no difference in PCOS.

Clinical pearls from this deck

• Irregular periods in the first year: usually normal.
• Adolescent diagnosis: irregular cycles plus androgen excess.
• Adolescent with possible PCOS: skip the ovarian scan.
• Before labelling PCOS: rule out the mimics.
• Rapid virilisation: think tumour, not PCOS.
• Scoring hirsutism: Ferriman-Gallwey.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Endocrinology Board Questions case decks · pediatric reference values.