Gynaecology & Obstetrics

20 learning units • 100 chapter sections • 200 explained questions. Assess pregnancy and reproductive health, recognise emergencies and plan respectful treatment, referral and follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 15 / 20

Pelvic Pain, Endometriosis & Adnexal Emergencies

Differentiate acute threats from persistent pelvic pain and plan appropriate investigation and support.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. What should be assessed early in acute pelvic pain? A. Only cycle lengthB. Only previous contraceptionC. Stability and pregnancy possibilityD. Only family size

Question 02. Which presentation warrants urgent evaluation for adnexal torsion? A. Stable painless discharge aloneB. Sudden severe pelvic pain with vomitingC. Mild longstanding itchD. A resolved headache

Question 03. Does preserved ovarian Doppler flow reliably exclude torsion? A. YesB. NoC. Only before menopauseD. Only after a normal blood count

Question 04. Which symptom pattern supports possible endometriosis? A. Isolated painless ankle swellingB. A single sneezeC. Cyclical pelvic pain with deep dyspareuniaD. Only seasonal nasal itch

Question 05. Can normal ultrasound exclude endometriosis? A. Yes, all formsB. NoC. Only after one scanD. Only if pain is severe

Question 06. What should guide persistent pelvic pain treatment? A. Repeated identical treatment regardless of effectB. Assuming all pain is imaginedC. Symptoms, function, preferences and responseD. Avoiding follow-up

Question 07. Why consider bowel and urinary causes in pelvic pain? A. They exclude all reproductive diseaseB. They never cause pelvic symptomsC. Symptoms can overlap or coexist with gynaecological diseaseD. They replace pregnancy assessment

Question 08. What influences assessment of an adnexal mass? A. Only the mass nameB. Only one tumour-marker valueC. Age, menopausal status, symptoms and imagingD. Only the patient’s occupation

Question 09. Can a tumour marker alone diagnose every ovarian malignancy? A. YesB. NoC. Only if repeated twiceD. Only if pain is absent

Question 10. A patient with a known cyst develops sudden pain and syncope. What is appropriate? A. Continue routine follow-up unchangedB. Assume all cyst pain is harmlessC. Wait for the next annual scanD. Urgent reassessment for complications and other emergencies

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.