Acute and Chronic Pelvic Pain in Women Bernard M. Karnath, MD
	Choose the single best answer for each question. 1. A 40-year-old woman presents for routine gynecologic examination. Bimanual examination reveals palpable nodules on the uterine surface. Which of the following conditions is most likely? Adenomyosis Ovarian tumor Leiomyomata Cervical cancer Click here to compare your answer. 2. An 18-year-old sexually active woman presents with a 3-day history of pelvic pain, fever, and a purulent vaginal discharge. Physical examination reveals adnexal and cervical motion tenderness. What is the most likely diagnosis? Ectopic pregnancy Fitz-Hugh-Curtis syndrome Inflammatory bowel disease Ovarian torsion Pelvic inflammatory disease (PID) Click here to compare your answer.		3. A 25-year-old sexually active woman presents with a 2-day history of pelvic pain and vaginal bleeding. Her last menstrual period was 10 weeks ago. Physical examination reveals an adnexal mass. What is the most likely diagnosis? Adenomyosis Ectopic pregnancy Leiomyomata Ovarian torsion Click here to compare your answer. 4. A 35-year-old woman presents with a 6-month history of recurrent pelvic pain. The pain increases during the premenstrual period and gradually declines during menstruation. The pain radiates to the lower back. The patient also complains of dyspareunia. She denies having had any previous surgeries. Pelvic examination does not demonstrate any palpable masses. What is the most likely diagnosis? Adhesions Endometriosis Leiomyomata PID Click here to compare your answer.
Click here to read more about Acute and Chronic Pelvic Pain in Women (Requires Adobe Acrobat Reader) Check our archives to test your knowledge in other clinical signs: If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing. Download Adobe Acrobat Reader
Hospital Physician     JCOM     Seminars in Medical Practice Hospital Physician Board Review Manuals About TWC    Subscribe    Contact TWC    Home    Search   Site Map Copyright © 2008, Turner White Communications Updated 8/6/07 • kkj