Question

19. A 29-year old woman has dull pain in two separate focal areas of her abdomen that seems to come and go cyclically. She also complains of occasional dyspareunia. Her abdomen is tender to palpation in the areas she described. Which of the following most accurately matches S&S to pathology?

a. The cyclical pain is probably related to dysmenorrhea from hormonal malfunction.

b. Because of monthly retrograde bleeding, there are bits of ectopic endometrium in the abdomen that cause pain.

c. PID has caused bilateral salpingo-oopheritis.

d. Endometriosis has caused ectopic areas of cancerous tissue in the abdomen that cause pain on a cyclical basis.

20. Several years later the patient in question 19 has a bowel obstruction and has emergency surgery. How does this surgical incident relate to the situation above?

a. The cancerous tissue spread and invaded the bowel.

b. The PID infection spread to the bowels and caused chronic inflammation.

c. Ectopic endometrial bleeding eventually caused adhesions that obstructed the bowel.

d. Adhesions from hormonally-triggered amenorrhea eventually caused bowel obstruction

Answer 1

19. Answer:(b) because of monthly retrograde bleeding,there are bits of ectopic endometrium in the abdomen that cause pain.

Reason:

& Endometriosig, tiny beats of The Inner linning a The whow, we called as endometrium which is supposed to slough off during mensturation and Esik via the vagina, allow is retrograde fasion through The fallopian tube isto The pelvics and abdomer

20. Answer:(c) ectopic endometrial bleeding eventually caused adhesions that obstructed the bowel.

Reason:

& Adhesions are the term given when sear tissue (in this case caused by chronic periodo of Bleeding from The Ectopie Exclometriums causos parts of anatomy to "stick together inceppiopriately, * D option ó wrong because cemenn osuhea is lack of mersturation, no bleeding - No problem