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NBME 23 Answers

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An asymptomatic 30-year-old woman comes to the ...


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submitted by welpdedelp(137),

when a follicle doesn't rupture (aka anovulation) then it will form a cyst.

uslme123  n premenopausal women, simple adnexal cysts (image 1) that are <3 cm in diameter typically represent normal follicles or may be a corpus luteal cyst (these may appear simple or complex) and may be considered a normal finding. Even when up to 5 cm in diameter, these simple cysts are so commonly due to normal menstrual physiology that the Society of Radiologists in Ultrasound (SRU) does not recommend follow-up when asymptomatic +2  

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submitted by ber1ber1(1),

for anyone who thought it was endometriosis its not because endometriosis of the ovary would have multiple blood filled "chocolate cysts" and presents bilaterally and patient would typically have pelvic pain as well FA 2019:p634

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submitted by diabetes(10),

the key here is (asymptomatic) the only amswer is anovulation

The most common cyst in a young female is Follicular cyst; this is a cystic dilatation of an unruptured Graffian follicle.

Failure of Graffian follicle to rupture --> Anovulation

Ref FA2019 Pg 631-632

After everything its jjust an epidem ques. Below 55 vs Above 55 years

ls3076  can you elaborate please? +