Gynecology: adenomyosis: 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: adenomyosis

Sample item

A patient has heavy painful periods, a diffusely enlarged tender boggy uterus, and no discrete fibroid mass. What diagnosis is most likely?

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

The answer and the reasoning

D. Adenomyosis

Adenomyosis is endometrial tissue within the myometrium, causing heavy painful menstruation and a diffusely enlarged tender uterus. Imaging can support the diagnosis.

Option by option

  • A. Ovarian torsion

    Torsion causes acute unilateral pelvic pain.

  • B. Ectopic pregnancy

    Ectopic pregnancy presents in early pregnancy with pain and bleeding.

  • C. Endometrial polyp

    Polyps cause focal endometrial lesions and often intermenstrual bleeding.

  • D. Adenomyosis (correct)

    Correct. The boggy enlarged tender uterus is characteristic.

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 D, Adenomyosis. Adenomyosis is endometrial tissue within the myometrium, causing heavy painful menstruation and a diffusely enlarged tender uterus.

Why is "Ovarian torsion" not the answer?

Torsion causes acute unilateral pelvic pain.

Why is "Ectopic pregnancy" not the answer?

Ectopic pregnancy presents in early pregnancy with pain and bleeding.

Why is "Endometrial polyp" not the answer?

Polyps cause focal endometrial lesions and often intermenstrual bleeding.

What concept does this question test?

It tests Gynecology: adenomyosis in OBG. Imaging can support the diagnosis.

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: adenomyosis?

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.