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Pelvic Pain

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Depending on the type of afferent nerve fibers involved, pain may be categorized as visceral or somatic. Somatic pain stems from nerve afferents of the somatic nervous system, which innervates which of the following?

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a. Muscle

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b. Parietal peritoneum

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c. Subcutaneous tissue and skin

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d. All of the above

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The following illustration describes which of the following?

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Reproduced, with permission, from Rogers DE, Hoffman BL: Pelvic pain. In Hoffman BL, Schorge JO, Schaffer JI, et al (eds): Williams Gynecology, 2nd ed. New York, McGraw-Hill, 2012, Figure 11-1B.

Graphic Jump Location
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a. Dermatome map

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b. Central sensitization

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c. Peripheral sensitization

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d. Viscerosomatic convergence

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Visceral pain stems from afferent fibers of the autonomic nervous system that transmit information from the viscera and visceral peritoneum, resulting in pain described as which of the following?

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a. Sharp

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b. Stabbing

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c. Localized

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d. Generalized, dull ache

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Sustained noxious stimuli can lead to persistent central sensitization and to a permanent loss of neuronal inhibition. As a result, a decreased threshold to painful stimuli remains despite resolution of the inciting stimuli. This persistence characterizes which type of pain?

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a. Acute

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b. Neuropathic

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c. Inflammatory

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d. All of the above

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Acute lower abdominal pain and acute pelvic pain are common complaints. By definition, these present in general for which of the following durations?

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a. <7 days

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b. 1 month

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c. 2 months

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d. 3 consecutive months

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Etiologies of acute lower abdominal and acute pelvic pain are extensive. Common etiologies of right lower quadrant pain include all EXCEPT...

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