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OBG · Endometriosis
Sample itemWhich symptom pattern is most suggestive of endometriosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Cyclical pelvic pain and deep dyspareunia
Endometriosis can cause cyclical pelvic pain, painful intercourse, dysmenorrhea, and subfertility because endometrial-like tissue outside the uterus responds to hormonal cycles and inflammation.
Option by option
A. Sudden unilateral deafness
Deafness does not suggest pelvic endometriosis.
B. Cyclical pelvic pain and deep dyspareunia (correct)
Correct: cyclical pelvic pain and deep dyspareunia fit endometriosis.
C. Progressive painless jaundice
Jaundice is hepatobiliary or hematologic.
D. Acute facial paralysis
Facial paralysis has a neurologic differential.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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