1. What is the most widely accepted theory for the pathogenesis of endometriosis?
2. The most common site for endometriotic implants is:
3. A 28-year-old nulliparous woman presents with severe dysmenorrhea, dyspareunia, and infertility. An ovarian cyst filled with old, dark blood is identified on ultrasound. What is the common term for this finding?
4. What is considered the “gold standard” for the definitive diagnosis of endometriosis?
5. Which of the following is NOT a typical symptom of endometriosis?
6. The mechanism of action of GnRH agonists in the treatment of endometriosis involves:
7. Which medical therapy for endometriosis is associated with significant androgenic side effects like hirsutism, acne, and weight gain?
8. The term “adenomyosis” refers to the presence of endometrial glands and stroma within the:
9. According to the revised ASRM classification, Stage IV endometriosis is described as:
10. “Add-back” therapy is often prescribed with GnRH agonists to mitigate which side effect?
11. A classic physical examination finding in a patient with endometriosis involving the uterosacral ligaments is:
12. Which of the following is considered a definitive surgical treatment for endometriosis in a woman who has completed her family?
13. Catamenial pneumothorax is a rare manifestation of endometriosis involving which site?
14. Malignant transformation of an endometrioma is rare, but when it occurs, the most common histological types are:
15. A patient with known endometriosis complains of painful defecation (dyschezia), particularly during her menses. This symptom is most suggestive of implants located on the:
16. Which of the following is a protective factor against developing endometriosis?
17. First-line medical management for endometriosis-associated pain in a patient not desiring immediate pregnancy is typically:
18. The pain in endometriosis is primarily mediated by the local production of:
19. In a patient with an endometrioma, what is the sonographic feature that helps distinguish it from a hemorrhagic cyst?
20. Which statement is TRUE regarding endometriosis and infertility?
21. A 45-year-old woman with a history of endometriosis presents with menorrhagia and a symmetrically enlarged, ‘boggy’ uterus. The most likely co-existing diagnosis is:
22. Which of the following conditions is NOT typically included in the differential diagnosis of chronic pelvic pain suspected to be endometriosis?
23. Dienogest, a progestin used for endometriosis treatment, primarily acts by:
24. What is the main limitation of the ASRM staging system for endometriosis?
25. The presence of “powder-burn” or “gunshot” lesions on the peritoneum during laparoscopy is characteristic of: