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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#5 (reveal difficulty score)
A 37-year-old woman, gravida 2, para 2, comes ...
Adenomyosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro

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  • Woman in her late 30s with previous pregnancies presents with progressive menstrual pain and a soft, diffusely enlarged uterus most consistent with adenomyosis (abnormal endometrial tissue within the uterine myometrium)
  • Key idea: Adenomyosis can lead to dysmenorrhea, heavy menstrual bleeding and chronic pelvic pain
  • Key idea: Risk factors for adenomyosis includes age > 40, multiparity and/or prior uterine surgery
  • Key idea: For the NBME exams, a diffusely enlarged uterus is either pregnancy or adenomyosis, whereas an enlarged irregular uterus is consistent with fibroids

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