Gynecology: dysmenorrhea: 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: dysmenorrhea

Sample item

A patient has progressive secondary dysmenorrhea, deep dyspareunia, and a fixed retroverted uterus with uterosacral nodularity. What diagnosis is most likely?

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

The answer and the reasoning

B. Endometriosis

Endometriosis may cause secondary dysmenorrhea, dyspareunia, infertility, and pelvic nodularity or fixation from fibrosis. Symptoms and fertility goals guide medical or surgical management.

Option by option

  • A. Vulvovaginal candidiasis

    Candidiasis causes pruritus and discharge.

  • B. Endometriosis (correct)

    Correct. The progressive pain and uterosacral nodularity strongly suggest endometriosis.

  • C. Primary dysmenorrhea

    Primary dysmenorrhea occurs without pelvic pathology and usually begins soon after menarche.

  • D. Simple cystitis

    Cystitis causes urinary symptoms rather than pelvic nodularity.

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 B, Endometriosis. Endometriosis may cause secondary dysmenorrhea, dyspareunia, infertility, and pelvic nodularity or fixation from fibrosis.

Why is "Vulvovaginal candidiasis" not the answer?

Candidiasis causes pruritus and discharge.

Why is "Primary dysmenorrhea" not the answer?

Primary dysmenorrhea occurs without pelvic pathology and usually begins soon after menarche.

Why is "Simple cystitis" not the answer?

Cystitis causes urinary symptoms rather than pelvic nodularity.

What concept does this question test?

It tests Gynecology: dysmenorrhea in OBG. Symptoms and fertility goals guide medical or surgical management.

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: dysmenorrhea?

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.