Endometriosis MCQ Questions And Answers | Medical Exam Preparation
Maria, a 32-year-old woman, has been experiencing severe pelvic pain during menstruation for several years. She also complains of pain during intercourse and lower back pain. She is concerned about her fertility as she and her partner have been trying to conceive for over a year. Which of the following is the most likely cause of her symptoms?
A) Polycystic ovary syndrome (PCOS)
B) Endometriosis
C) Uterine fibroids
D) Pelvic inflammatory disease (PID)
Answer: B) Endometriosis
Sara, a 26-year-old woman, presents with cyclic pelvic pain, heavy menstrual bleeding, and pain during bowel movements. She mentions that her mother and aunt both had a history of endometriosis. On physical examination, the physician palpates a tender, fixed mass behind the uterus. Which of the following is the most likely finding in this scenario?
A) Adnexal mass
B) Enlarged ovaries
C) Uterine fibroids
D) Rectovaginal endometriotic nodule
Answer: D) Rectovaginal endometriotic nodule
Emma, a 35-year-old woman, has a long-standing history of infertility. She complains of chronic pelvic pain, fatigue, and pain during urination. On pelvic examination, the physician palpates tender nodules in the uterosacral ligaments. Which of the following is the most likely diagnosis?
A) Polycystic ovary syndrome (PCOS)
B) Endometriosis
C) Uterine fibroids
D) Ovarian cysts
Answer: B) Endometriosis
Sophia, a 30-year-old woman, presents with chronic pelvic pain and dysmenorrhea. She has a history of multiple laparoscopic surgeries for endometriosis. She has tried hormonal therapies in the past but found little relief. Which of the following is the most appropriate next step in her management?
A) Repeat laparoscopy
B) Hysterectomy
C) Trial of gonadotropin-releasing hormone (GnRH) agonists
D) Oral contraceptive pills
Answer: C) Trial of gonadotropin-releasing hormone (GnRH) agonists
Olivia, a 28-year-old woman, presents with chronic pelvic pain and dyspareunia. She desires to have children in the future. On transvaginal ultrasound, her ovaries appear normal, and there are no adnexal masses. Which of the following is the most appropriate diagnostic test to confirm the diagnosis?
A) Laparoscopy with biopsy
B) Magnetic resonance imaging (MRI)
C) Serum CA-125 level
D) Transvaginal ultrasound is sufficient for diagnosis
Answer: A) Laparoscopy with biopsy
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