Paeds Cases · adolescent-and-young-adult-medicine
Adolescent PCOS OSCE — diagnostic reasoning, lifestyle counselling and management planning
Observed structured encounter testing adolescent PCOS diagnostic reasoning, mimic exclusion, lifestyle-first counselling with mental health awareness, and shared management planning.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a 16-year-old referred with an ultrasound report of polycystic ovaries and a GP letter stating PCOS. Station B is private assessment with low mood disclosure requiring integrated mental health and PCOS management planning.
Station objectives
- Reason through adolescent PCOS diagnosis using Rotterdam criteria with developmental modification. [4] [2]
- Explain why ultrasound alone does not establish the diagnosis in adolescents. [2] [1]
- Deliver lifestyle-first counselling without weight-centric messaging that risks disordered eating. [5]
- Integrate mental health screening into the PCOS management plan. [6]
- Co-create a symptom-directed, follow-up-aware plan with transition planning. [3] [1]
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References7Show ledgerHide ledger
- [1]Peña AS, Witchel SF, Boivin J, et al. International evidence-based recommendations for polycystic ovary syndrome in adolescents. BMC medicine, 2025.PMID 40069730
- [2]Rosenfield RL The Diagnosis of Polycystic Ovary Syndrome in Adolescents. Pediatrics, 2015.PMID 26598450
- [3]Legro RS Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. Journal of clinical endocrinology and metabolism, 2013.PMID 24151290
- [4]Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertility and sterility, 2004.PMID 14711538
- [5]Moran LJ Evidence summaries and recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome: Lifestyle management. Obesity reviews, 2020.PMID 32452622
- [6]Barry JA Anxiety and depression in polycystic ovary syndrome: a systematic review and meta-analysis. Human reproduction, 2011.PMID 21725075
- [7]Hoeger K The impact of metformin, oral contraceptives, and lifestyle modification on polycystic ovary syndrome in obese adolescent women in two randomized, placebo-controlled clinical trials. Journal of clinical endocrinology and metabolism, 2008.PMID 18728175