Audio Qbank – Q167 – A 24F with irregular periods

 

A 24-year-old woman comes to the GP for a routine health maintenance examination. Menses have occurred at irregular 25-33-day intervals since menarche at age 15. Vitals are: temperature 98.6F, HR 72, RR 16, BP 128/78. BMI is 27. Physical examination shows facial acne. This patient most likely has which of the following?

 

↓ LH/FSH ratio
↑ Serum insulin
↑ Serum progesterone
↑ Serum prolactin
↑ 5α-reductase synthesis

 

Cut-to-the-chase Answer (0:52):
HY USMLE Answer (6:49):