Reproductive Quiz #31, Dysmenorrhea 

1. A 19-year-old female presents to the clinic with complaints of painful menstrual cramps that have progressively worsened over the past year. The pain is primarily located in the lower abdomen and begins just before the onset of menstruation, lasting for 2-3 days. She denies any pelvic pain outside of her menstrual periods. Her menstrual cycles are regular, with a normal flow. Which of the following mechanisms is most likely responsible for her symptoms? 

Question 1 of 5

2. A 24-year-old female presents with severe menstrual cramps that have not improved with over-the-counter NSAIDs. She also reports deep dyspareunia and chronic pelvic pain. Her gynecological history is unremarkable, and she is currently using an intrauterine device for contraception. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 20-year-old female college student visits the health center complaining of menstrual cramps that significantly interfere with her daily activities. She has been experiencing these symptoms since menarche at age 13. Which of the following is the first-line treatment for her condition? 

Question 3 of 5

4. A 22-year-old woman presents with a 6-month history of progressively worsening dysmenorrhea and menorrhagia. Pelvic examination reveals a uniformly enlarged, mobile, and non-tender uterus. Which of the following is the most likely diagnosis? 

Question 4 of 5

5. A 21-year-old female with a history of painful periods reports that her menstrual pain has recently become more severe and is now accompanied by nausea and vomiting. She is sexually active and uses condoms inconsistently. On physical examination, adnexal tenderness is noted. Which of the following additional findings would most strongly suggest a diagnosis of pelvic inflammatory disease (PID)? 

Question 5 of 5


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