The average large egg is equal to 1.66 ounces. That times 3 = 4.98, call it 5 ounces. Use a liquid measuring cup, and add your medium eggs until you reach 5 ounces. Err on the high side rather than the low.
I would definitely add an extra egg. A bit more egg will give you extra lift and you might have to add a few minutes to the cooking time, but not enough will result in a dry, crumbly cake.
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