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Review of Clinical Signs Review Questions

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?

  1. Adenomyosis
  2. Ovarian tumor
  3. Leiomyomata
  4. 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?

  1. Ectopic pregnancy
  2. Fitz-Hugh-Curtis syndrome
  3. Inflammatory bowel disease
  4. Ovarian torsion
  5. 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?
  1. Adenomyosis
  2. Ectopic pregnancy
  3. Leiomyomata
  4. 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?

  1. Adhesions
  2. Endometriosis
  3. Leiomyomata
  4. PID
Click here to compare your answer.

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