A client with Polycystic Ovary Syndrome (PCOS) is seeking information about the condition's pathophysiology.
What statement by the client indicates a correct understanding of PCOS pathogenesis?
"PCOS is caused by excessive follicle-stimulating hormone (FSH) levels.”
"Insulin resistance has no impact on the hormonal imbalance in PCOS.”
"Elevated androgens disrupt normal ovulation and contribute to cyst formation.”
"PCOS is primarily related to a deficiency of luteinizing hormone (LH).”
The Correct Answer is C
Choice A rationale:
"PCOS is caused by excessive follicle-stimulating hormone (FSH) levels." This statement is not accurate.
PCOS is characterized by an imbalance in the ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH), with LH often being elevated compared to FSH.
Excessive FSH levels are not a primary cause of PCOS.
Choice B rationale:
"Insulin resistance has no impact on the hormonal imbalance in PCOS." This statement is incorrect.
Insulin resistance is a significant contributor to the hormonal imbalance seen in PCOS.
Insulin resistance can lead to hyperinsulinemia, which in turn can stimulate the ovaries to produce more androgens (male hormones).
These elevated androgen levels disrupt normal ovulation and contribute to the formation of ovarian cysts, which are key features of PCOS.
Choice C rationale:
"Elevated androgens disrupt normal ovulation and contribute to cyst formation." This statement is correct.
Elevated androgens (such as testosterone) are a hallmark of PCOS and are associated with the disruption of normal ovulation and the development of cysts in the ovaries.
These hormonal imbalances are central to the pathogenesis of PCOS.
Choice D rationale:
"PCOS is primarily related to a deficiency of luteinizing hormone (LH)." This statement is not accurate.
PCOS is not primarily related to a deficiency of LH but rather to an elevated LH-to-FSH ratio, as mentioned earlier.
The hormonal dysregulation in PCOS involves an excess of LH relative to FSH.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"There's no way to prevent PCOS, so don't worry about it." Rationale: This response is inaccurate and unhelpful.
While the exact cause of PCOS is not fully understood, there are preventive strategies that can reduce the risk of developing PCOS-related complications.
It is essential to provide patients with information on how to manage and reduce their risk.
Choice B rationale:
"Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help manage symptoms and reduce the risk of complications." Rationale: This is the appropriate response.
While PCOS cannot be prevented, adopting a healthy lifestyle can help manage symptoms and reduce the risk of complications associated with PCOS.
Weight management, regular physical activity, and a balanced diet can improve insulin sensitivity and hormone balance.
Choice C rationale:
"You can only prevent PCOS through genetic testing." Rationale: This response is incorrect.
PCOS cannot be prevented through genetic testing.
Genetic factors may play a role in the development of PCOS, but genetic testing is not a preventive measure.
Preventive strategies focus on lifestyle modifications and early management of risk factors.
Choice D rationale:
"PCOS prevention relies solely on medication." Rationale: This response is not accurate.
While medication may be part of the treatment plan for PCOS, prevention strategies primarily involve lifestyle changes, such as diet and exercise.
Medications are typically used to manage symptoms and complications rather than prevent the condition itself.
Correct Answer is A
Explanation
Choice A rationale:
Increased risk of developing type 2 diabetes.
Rationale: The nurse should prioritize discussing the increased risk of developing type 2 diabetes when talking about PCOS complications.
Insulin resistance is a common feature of PCOS, and many individuals with PCOS are at a higher risk of developing type 2 diabetes if their condition is not managed effectively.
This is a significant health concern that requires attention and preventive measures.
Choice B rationale:
Psychological effects like depression and anxiety.
Rationale: While psychological effects like depression and anxiety are important to address in the context of PCOS, they are not the primary complication that should be prioritized in the discussion.
The increased risk of type 2 diabetes has more immediate and potentially severe health implications.
Choice C rationale:
Infertility and difficulty conceiving.
Rationale: Infertility and difficulty conceiving are significant concerns for many individuals with PCOS.
However, these complications may not be the top priority for all patients, as not everyone with PCOS desires to conceive.
Additionally, addressing insulin resistance and diabetes risk is more universally relevant.
Choice D rationale:
Endometrial hyperplasia.
Rationale: Endometrial hyperplasia is a potential complication of PCOS due to irregular menstrual cycles and anovulation.
While it is a concern, it is not the most critical complication to prioritize in the discussion, as it is more directly linked to fertility issues and may not be applicable to all patients.
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