Polycystic ovary syndrome (PCOS) Quiz: Ace Your Exams

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An 18-year-old woman presents for evaluation of irregular menstrual cycles since menarche five years ago. Her cycles come once every 1 to 4 months and are unpredictable. On review of systems, she notes unwanted hair growth on her chin and upper lip that she waxes. She also struggles with severe cystic acne. Past medical history is unremarkable. Temperature is 36.7°C (98.0°F), pulse is 72/min, respirations are 16/min, and blood pressure is 132/88 mmHg. On exam, body mass index (BMI) is 30 kg/m2 and cardiovascular, abdominal, and pelvic exams are normal. A urine pregnancy test is negative, and a pelvic ultrasound reveals over 20 antral follicles in each ovary. Which of the following sets of laboratory results is consistent with the most likely diagnosis? 

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