Endocrine and Reproductive Disorders · USMLE Step 1

A sexually active woman presents with lower abdominal pain and cervical motion tenderness. What is the most likely diagnosis?

  1. Ruptured ectopic pregnancy
  2. Pelvic inflammatory disease
  3. Pelvic endometriosis
  4. Ovarian cyst torsion
Show answer and explanation

Correct answer: Pelvic inflammatory disease

PID commonly presents with lower abdominal pain and cervical motion tenderness (chandelier sign). It is often caused by Chlamydia or Gonorrhea.

Difficulty: Medium Question 12 of 20

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