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Endometriosis — MCCQE Part 1 MCQ

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EasyPelvic PainEndometriosisMCCQE Part 1

A 31-year-old woman has progressive dysmenorrhoea, deep dyspareunia, infertility and uterosacral nodularity. Which of the following is the most appropriate next step?

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Reveal the answer and explanation

Correct answer: B — Treat pain and refer for gynaecology assessment of suspected endometriosis and fertility goals

Treat pain and refer for gynaecology assessment of suspected endometriosis and fertility goals is the single best answer because the age, timing, examination findings and investigations in the vignette fit Endometriosis better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to SOGC endometriosis guidance, with attention to acuity, safety-netting and local provincial pathways.

Reference: SOGC endometriosis guidance