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6 weeks amenorrhea + cervical motion tenderness

Options:
A. Ectopic pregnancy
B. Ovarian cyst rupture
C. Pelvic inflammatory disease
D. Normal early pregnancy

1 Answer

7 votes

Final answer:

The combination of cervix motion tenderness and 6 weeks of amenorrhea could suggest conditions like ectopic pregnancy or PID, both of which require immediate medical attention. An ectopic pregnancy is more likely given the symptoms, but PID cannot be ruled out without further evaluation.

Step-by-step explanation:

A student has asked about the condition indicated by symptoms of 6 weeks amenorrhea and cervical motion tenderness. These symptoms could suggest several conditions, including ectopic pregnancy, ovarian cyst rupture, pelvic inflammatory disease, or a normal early pregnancy. Given the nature of the symptoms mentioned:

  • Ectopic pregnancy is a medical emergency where a fertilized egg implants outside the uterus, often in a fallopian tube. Symptoms can include absence of menstruation (amenorrhea), abdominal pain, and cervical motion tenderness.
  • Ovarian cyst rupture can cause acute abdominal pain but is less likely to cause amenorrhea unless it disrupts the normal ovarian cycle.
  • Pelvic inflammatory disease (PID) is an infection of the reproductive organs and can cause severe pain, particularly during cervical movement, as well as amenorrhea.
  • A normal early pregnancy can be associated with amenorrhea, but cervical motion tenderness is not typically seen.

Considering the options and the symptoms presented, particularly the cervical motion tenderness, ectopic pregnancy and PID are more likely than ovarian cyst rupture or a normal early pregnancy. Immediate medical evaluation is crucial, especially if ectopic pregnancy is suspected, as it can be life-threatening.

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