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Question

Hirsutism is seen in which of the following ?
1. Polycystic ovarian syndrome
2. Congenital adrenal hyperplasia
3. Hypothyroidism
4. Ovarian tumour
Select the correct answer using the code given below:

The correct answer is
1, 2 and 4

Hirsutism Causes Analysis

Understanding Hirsutism

Hirsutism refers to the excessive growth of hair in a male-like pattern (on the face, chest, and back) in women. It is typically caused by an excess of androgens (male hormones).

Conditions Associated with Hirsutism

The question asks to identify conditions where hirsutism is observed. Let's analyze the options:

  • 1. Polycystic Ovarian Syndrome (PCOS): PCOS is a common endocrine disorder characterized by hormonal imbalances, irregular periods, and often, excess androgen production, leading to hirsutism.
  • 2. Congenital Adrenal Hyperplasia (CAH): Certain forms of CAH involve enzyme deficiencies that affect cortisol and aldosterone production, leading to increased androgen levels and subsequently, hirsutism.
  • 3. Hypothyroidism: Hypothyroidism (underactive thyroid) is generally associated with symptoms like hair loss, dry skin, and fatigue, not hirsutism. While hormonal imbalances are involved, they don't typically cause excessive male-pattern hair growth.
  • 4. Ovarian Tumour: Some specific types of ovarian tumours, particularly androgen-secreting tumours like Sertoli-Leydig cell tumours, can produce excess androgens, causing significant hirsutism.

Conclusion

Based on the analysis, hirsutism is commonly seen in Polycystic Ovarian Syndrome (1), Congenital Adrenal Hyperplasia (2), and androgen-secreting Ovarian Tumours (4). Hypothyroidism (3) is not typically associated with hirsutism.

Therefore, the correct combination is 1, 2, and 4.

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Important Questions from Adrenal Disorders

  1. Match the List I with List II and select the correct answer using the code given below the lists:
    List I
    (disease)
    List II
    (signs)
    A. Conn syndrome1. Anosmia
    B. Turner syndrome2. Tetany
    C. Kallman syndrome3. Lymphoedema
    D. Cushing syndrome4. Avascular necrosis of hip

    Code:
  2. Which of the following test has maximum sensitivity for diagnosing Pheochromocytoma?
  3. A 26 year old lady has a Prolactinoma (microadenoma). The best modality of treatment for her condition is:
  4. Escape behaviour with paroxysmal occurrence is seen in:
  5. A patient presents with circulatory shock, nausea, vomiting and diarrhoea. A diagnosis of acute adrenal crisis is considered. A blood sample is stored for measurement of serum cortisol and treatment started without delay. Which of the following are appropriate interventions?
    1. IV normal saline
    2. IV hydrocortisone 100 mg stat
    3. IV 10% glucose
    4. IV KCl as infusion
    Select the correct answer using the code given below:
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