Paeds Vivas · adolescent-and-young-adult-medicine
Polycystic ovary syndrome in adolescents — branching viva
Branching viva on Rotterdam diagnostic criteria with adolescent modification, mimic exclusion, lifestyle-first management, symptom-directed pharmacotherapy, and metabolic and mental health screening.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in adolescent clinic. The examiner will move from diagnostic criteria to mimic exclusion, then to management decisions and long-term care planning.
Stem
The examiner will test whether you can reason through adolescent PCOS diagnosis under pressure, avoiding premature labelling while identifying genuine disease. [1] [2]
References8ShowHide
- [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]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
- [7]Barry JA Anxiety and depression in polycystic ovary syndrome: a systematic review and meta-analysis. Human reproduction, 2011.PMID 21725075
- [8]van der Ham K Anti-mullerian hormone as a diagnostic biomarker for polycystic ovary syndrome and polycystic ovarian morphology: a systematic review and meta-analysis. Fertility and sterility, 2024.PMID 38944177