Q:

A 14 year old girl is clinically obese. She has not started her periods yet and has severe acne. Among her investigation, a high insulin level is found. What is the most probable diagnosis?

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A 14 year old girl is clinically obese. She has not started her periods yet and has severe acne. Among her investigation, a high insulin level is found. What is the most probable diagnosis?


  1. Cushing’s syndrome
  2. Grave’s disease
  3. Acquired hypothyroidism
  4. PCOS
  5. Addison’s disease

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The key is D. PCOS. [It is not cushing’s as insulin levels in cushing’s are not usually raised! Here

obesity, primary amenorrhea , acne and particularly high level of insulin makes the likely diagnosis to

PCOS].

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