A patient's record indicates the following signs and symptoms: acute and sudden pelvic pain, a purulent and foul-smelling vaginal discharge, fever, sexual dysfunction, metrorrhea, and rebound pain Which condition is this patient showing signs and symptoms of?
Endometriosis
Pelvic inflammatory disease (PID)
Uterine leiomyomas
Polycystic ovary syndrome
The Correct Answer is B
A. Endometriosis:
Endometriosis causes chronic pelvic pain but doesn't typically present with purulent discharge, fever, or foul-smelling discharge.
B. Pelvic inflammatory disease (PID):
PID is an infection of the reproductive organs, often caused by untreated sexually transmitted infections. Symptoms like acute pelvic pain, fever, purulent vaginal discharge, and rebound pain are characteristic of PID.
C. Uterine leiomyomas:
Leiomyomas (fibroids) can cause pelvic pain but are not associated with infection, fever, or purulent discharge.
D. Polycystic ovary syndrome (PCOS):
PCOS does not cause acute infection-like symptoms (fever, purulent discharge) as seen in PID.
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Related Questions
Correct Answer is A
Explanation
A. Improper perineal hygiene:
Poor perineal hygiene can allow bacteria (like E. coli) from the anus to migrate into the urethra, leading to UTI.
B. High level of physical activity:
Exercise is not a direct risk factor for UTI development.
C. High-sodium diet:
Sodium intake affects blood pressure and fluid balance, but not UTI risk directly.
D. Radiotherapy to the pelvis:
While radiation can damage pelvic tissues and later increase UTI risk, it’s less common and not the primary classic risk factor compared to hygiene issues.
Correct Answer is A
Explanation
A. Genital human papillomavirus infection:
HPV causes genital warts that can be transmitted during birth, leading to conditions like respiratory papillomatosis in the baby.
B. Syphilis:
Syphilis causes painless ulcers (chancres) but the description fits HPV better.
C. Genital herpes:
Herpes lesions are typically painful vesicles, not warty growths.
D. Pelvic inflammatory disease (PID):
PID is a complication of sexually transmitted infections but involves internal reproductive organs- no external warty lesions.
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