MRCP Q 2731

A 28 year old female presents with irregular periods. She is overweight and has problems with excessive hair and acne. You notice she appears to have broad shoulders and a deep voice. An ultrasound reveals nests of cells throughout the ovarian stroma. Bloods reveal elevated testosterone levels. What is the most likely diagnosis?

1. Congenital adrenal hyperplasia
2. Polycystic ovarian syndrome
3. Androgen producing tumour
4. Ovarian hyperthecosis
5. Cushings syndrome

Correct Answer 4

Ovarian hyperthecosis

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