Difficulty: Medium
Average Score: 84%
Simulated
Passage / Scenario
A woman who complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years, pain during intercourse, and has tried unsuccessfully to get pregnant for the past 18 months.A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:
Correct answer
B
Rationale
Endometriosis involves endometrial tissue outside the uterus, causing chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility, matching the symptoms described. Primary dysmenorrhea and PMS don't typically cause infertility or pain during intercourse, and secondary dysmenorrhea is less specific.