11-02-2011, 04:23 AM
10. A 28-year-old nulligravid woman comes for a routine health maintenance examination. She has
had progressively severe dysmenorrhea over the past 6 months adequately controlled by
nonsteroidal anti-inflammatory agents. Pelvic examination shows a normal vagina and cervix. The
uterus is retroverted and fixed, and there is nodularity of the cul-de-sac. A 6-cm left adnexal mass
is palpated. Transvaginal ultrasonography shows a 7-cm septated adnexal mass. Four weeks later,
there is no change in the size of the adnexal mass. Which of the following is the most appropriate
diagnostic test?
A
) Measurement of serum CA 125 level
B
) Barium enema
C
) CT scan of the pelvis
D
) MRI of the pelvis
E
) Laparoscopy
had progressively severe dysmenorrhea over the past 6 months adequately controlled by
nonsteroidal anti-inflammatory agents. Pelvic examination shows a normal vagina and cervix. The
uterus is retroverted and fixed, and there is nodularity of the cul-de-sac. A 6-cm left adnexal mass
is palpated. Transvaginal ultrasonography shows a 7-cm septated adnexal mass. Four weeks later,
there is no change in the size of the adnexal mass. Which of the following is the most appropriate
diagnostic test?
A
) Measurement of serum CA 125 level
B
) Barium enema
C
) CT scan of the pelvis
D
) MRI of the pelvis
E
) Laparoscopy