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OBG · Gynecologic oncology: ovarian cancer
Sample itemA postmenopausal patient has persistent bloating, early satiety, pelvic pain, and increasing abdominal girth. What is the appropriate clinical concern?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Possible ovarian malignancy requiring urgent assessment
Persistent new bloating, early satiety, pelvic or abdominal pain, and urinary symptoms can be features of ovarian cancer, especially after menopause. Appropriate imaging and tumor-marker assessment form part of an urgent diagnostic pathway.
Option by option
A. Simple dyspepsia only
Simple dyspepsia does not explain progressive abdominal enlargement and pelvic symptoms.
B. Uncomplicated cystitis
Cystitis causes urinary symptoms but not typically early satiety or abdominal distension.
C. Possible ovarian malignancy requiring urgent assessment (correct)
Correct. The persistent symptom cluster warrants evaluation for ovarian malignancy.
D. Migraine
Migraine does not produce pelvic or abdominal signs.
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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