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OBG · Gynaecology
Sample itemWhat feature is most characteristic of endometriosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Cyclical pelvic pain with dysmenorrhoea
Endometriosis commonly causes cyclical pelvic pain, dysmenorrhoea, dyspareunia, and sometimes infertility due to ectopic endometrial tissue.
Option by option
A. Sudden painless loss of vision
Visual loss is unrelated to endometriosis.
B. Painless postmenopausal bleeding
Postmenopausal bleeding has a malignancy-focused differential.
C. Cyclical pelvic pain with dysmenorrhoea (correct)
Correct: cyclical pain reflects hormonally responsive ectopic tissue.
D. Persistent productive cough
Cough does not suggest pelvic endometriosis.
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.