[step1an]

A 24-year-old sexually active woman presents for a routine visit. Two years ago she underwent an uncomplicated endometrial biopsy by dilatation and curettage (D&C). She also had an incomplete abortion 4 years previously, which required curettage to remove the residual placental tissue. That procedure too was done without complications. Given this history, she is at a higher risk of developing which condition?

A. Endometriosis
B. Adenomyosis
C. Tubo- ovarian abscess
D. Tubal pregnancy
E. Oophoritis

 

[donofitaly]

D. Tubal pregnancy?

 

[drmodi44]

B. Adenomyosis.....??

 

[good_boy_1234]

I will go with adenomyosis

 

[step1an]

The correct answer is D. Tubal pregnancy

Repeated D & C can lead to intrauterine scar formation (Asherman Syndrome), obliterating the uterine cavity. This can lead to infertility & ectopic pregnancy.

Adenomyosis might be an indication for curettage and is not a consequence of it.

 

[drmodi44]

is that step 1 Q?:redcheeks;

 

[step1an]

Yes..... Usmle Consult step 1.

 

[drmodi44]

it was easy i think.......but i was not able to make out....

 

[khanar]

How did you get it?

Yes..... Usmle Consult step 1.

Are you a winner here in usmle-forums so that you got your USMLE Consult subscription? Or did you buy it? Or you have it offline?

 

[donofitaly]

The correct answer is D. Tubal pregnancy

Repeated D & C can lead to intrauterine scar formation (Asherman Syndrome), obliterating the uterine cavity. This can lead to infertility & ectopic pregnancy.

Adenomyosis might be an indication for curettage and is not a consequence of it.

Thank you for this, i finally got something right!

 

[step1an]

Are you a winner here in usmle-forums so that you got your USMLE Consult subscription? Or did you buy it? Or you have it offline?

Well i have recently joined this forum.... so i am not a winner. Hopefully will win it some day.....:notsure:

I have USMLE Consult App for iPhone.......

 

[pabhilash]

Hii

Well i have recently joined this forum.... so i am not a winner. Hopefully will win it some day.....:notsure:

I have USMLE Consult App for iPhone.......

Tubal Pregnancy