Diabetes Mellitus USMLE Step 1 Practice Question
A 24-year-old woman with central obesity and acanthosis nigricans presents with irregular menses, infertility, acne, and progressive hirsutism. Vital signs: BP 138/88 mmHg, HR 82/min, RR 16/min, temp 37°C. Laboratory studies show fasting glucose 118 mg/dL and elevated free testosterone. Pelvic ultrasound demonstrates bilateral ovarian enlargement with multiple peripheral cysts. She denies galactorrhea. Which of the following is the most likely diagnosis?
Answer choices
- ATurner syndrome
- BAndrogen insensitivity syndrome
- CPrimary ovarian insufficiency
- DPolycystic ovary syndromeCorrect answer
- EKallmann syndrome
- FProlactinoma
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