Wednesday, August 29, 2018

Repeated USMLE Questions Step 2 CK- 263






A 31-year-old woman has just suffered from an ectopic pregnancy. She had multiple partners before she finally get married about a year ago. In this scenario, which of the following situations would most likely indicate a predisposition to an ectopic pregnancy?

A- Exposure in utero to DES (diethylstilbestrol)

B- Induction of ovulation

C- Pelvic inflammatory disease (PID)

D- Use of an IUD (intrauterine device) as a contraceptive

Answer






PID or pelvic inflammatory disease is a condition where the fallopian tubes, ovaries, or the uterus becomes infected. Usually, PID happens after the woman gets a sexually transmitted disease, particularly gonorrhea or chlamydia. If PID is left untreated, it can cause an ectopic pregnancy, infertility, or even ongoing pelvic pain.

The correct answer is C








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