Approach to adnexal masses Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 30-year-old woman, gravida 0, presents to the clinic with worsening right lower quadrant pelvic pain over the past 5 months. She notes that, over the same time period, menstrual cramping and intercourse have become more painful. She has no gastrointestinal symptoms other than occasional pain with defecation. Past medical history is notable for a laparoscopic appendectomy at age 8, and the patient takes no medication. Temperature is 36.7°C (98.0°F), pulse is 74/min, respirations are 14/min, and blood pressure is 116/70 mmHg. The exam shows tenderness and fullness in the right adnexa. Urine pregnancy test is negative, and office urinalysis is unremarkable. Which of the following is the most likely cause of this patient’s symptoms?

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Malignant epithelial invasion through the basement membrane

Abnormal growth of smooth muscle

Unruptured ovarian follicle

Bleeding ovarian follicle

Ectopic endometrial tissue