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Polycystic ovary syndrome

Diagnosis and management

doi: 10.1097/01.NPR.0000554218.10740.0c
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INSTRUCTIONS Polycystic ovary syndrome: Diagnosis and management


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Lippincott Professional Development will award 1.5 contact hours and 0.5 pharmacology hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

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Polycystic ovary syndrome: Diagnosis and management

General Purpose Statement: To present a comprehensive review of PCOS, including clinical manifestations, diagnostic approaches, and treatment options. Learning Objectives/Outcomes: After completing this continuing-education activity, you should be able to: 1. Outline the clinical presentation of PCOS. 2. Describe the diagnostic criteria and methods of diagnosing PCOS. 3. Plan the currently recommended interventions for treating PCOS.

  1. Women who have PCOS have an increased incidence of which of the following endocrine disorders?
    1. hyperparathyroidism
    2. metabolic syndrome
    3. pheochromocytoma
  2. In patients who have PCOS, acne is often
    1. mild.
    2. moderate.
    3. severe.
  3. Hirsutism in patients with PCOS develops gradually and intensifies with
    1. weight gain.
    2. pregnancy.
    3. anxiety.
  4. Compared with women who have mild hyperandrogenemia, those who have severe hyperandrogenemia are more likely to see hair loss at the
    1. crown.
    2. vertex.
    3. temples.
  5. A common chief complaint for women in primary care who require screening for PCOS is
    1. irregular menstrual cycles.
    2. recurrent constipation.
    3. persistent fatigue.
  6. Which characteristic of menstrual cycles is suggestive of anovulation?
    1. extreme pain
    2. heavy bleeding
    3. duration lasting more than 35 days
  7. If not diagnosed before menstruation ceases, menopausal women may only present with
    1. anemia.
    2. obesity.
    3. hypertension.
  8. Which is not likely to be a differential diagnosis for patients who have PCOS?
    1. congenital adrenal hypoplasia
    2. insulin resistance
    3. hyperprolactinemia
  9. Which guideline for diagnosing PCOS is recommended by the Endocrine Society?
    1. NIH Criteria
    2. Rotterdam Criteria
    3. Androgen Excess and PCOS Society criteria
  10. On pelvic or transvaginal ultrasound, patients who have PCOS have
    1. at least 30 follicles and an ovarian volume larger than 15 mL.
    2. more than 12 follicles and an ovarian volume smaller than 10 mL.
    3. more than 12 follicles and an ovarian volume larger than 10 mL.
  11. When diagnosing PCOS in adolescents younger than 17 years, clinicians should
    1. confirm infrequent menstrual periods.
    2. perform pelvic ultrasound.
    3. require a fertility evaluation.
  12. If PCOS is not diagnosed before menopause, clinicians should
    1. consider the need for oophorectomy.
    2. perform transvaginal ultrasound.
    3. not make this diagnosis.
  13. For women who choose not to take OCPs but require contraception, a recommended option for managing PCOS is an IUD in addition to
    1. metformin.
    2. finasteride.
    3. glyburide.
  14. Clinicians should not prescribe OCPs for patients who
    1. have a family history of colon cancer.
    2. are older than 35 and smoke.
    3. have a thyroid disorder.
  15. Which of the following treatments for hair removal is being used more frequently as a permanent means of managing hirsutism?
    1. epilation
    2. depilation
    3. electrolysis
  16. Which of the following drugs is an androgen receptor blocker that has the potential to decrease excessive hair growth in women?
    1. spironolactone
    2. finasteride
    3. danazol
  17. Which of the following drugs requires that prescribers be registered with the iPLEDGE program?
    1. dapsone
    2. isotretinoin
    3. minocycline
  18. Which of the following is a contraindication for taking metformin?
    1. breast cancer
    2. deep-vein thrombosis
    3. severe kidney impairment
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