Gynecology: endometriosis: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynecology: endometriosis

Sample item

A patient has progressive dysmenorrhea, deep dyspareunia, and cyclical pelvic pain, with infertility. Which diagnosis is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Endometriosis

Endometriosis is ectopic endometrial-like tissue that causes cyclic inflammatory pelvic pain, dyspareunia, and reduced fertility. Diagnosis and treatment are individualized to symptoms and reproductive goals.

Option by option

  • A. Endometriosis (correct)

    Correct. The cyclical pain and infertility pattern is characteristic.

  • B. Acute appendicitis

    Appendicitis causes acute evolving right-lower-quadrant pain.

  • C. Cystitis

    Cystitis causes dysuria and urinary frequency.

  • D. Vulvovaginal candidiasis

    Candidiasis causes pruritus and discharge rather than deep cyclical pelvic pain.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Endometriosis. Endometriosis is ectopic endometrial-like tissue that causes cyclic inflammatory pelvic pain, dyspareunia, and reduced fertility.

Why is "Acute appendicitis" not the answer?

Appendicitis causes acute evolving right-lower-quadrant pain.

Why is "Cystitis" not the answer?

Cystitis causes dysuria and urinary frequency.

Why is "Vulvovaginal candidiasis" not the answer?

Candidiasis causes pruritus and discharge rather than deep cyclical pelvic pain.

What concept does this question test?

It tests Gynecology: endometriosis in OBG. Diagnosis and treatment are individualized to symptoms and reproductive goals.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynecology: endometriosis?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.