Gynecologic Disorders Practice Test

History: A 30-year-old woman presents with an incidentally found adnexal mass on ultrasound obtained for pelvic discomfort. She takes no medications and has no family history of gynecologic malignancy. Presenting issue: Symptoms are mild and noncyclic; she has no weight loss or early satiety. Exam is normal. Diagnostics: Pregnancy test negative. Transvaginal US shows a 4-cm simple, thin-walled, anechoic cyst without septations or solid components. Considerations: She is worried about cancer and requests immediate surgery.

Which of the following is the most appropriate next step in management?

History: A 40-year-old woman presents with heavy menstrual bleeding and pelvic pressure due to fibroids. She is considering pregnancy with a new partner and wants to preserve fertility. Presenting issue: She reports anemia symptoms and urinary frequency. Exam shows enlarged irregular uterus. Diagnostics: Hgb 10.0 g/dL. Ultrasound shows a 5-cm submucosal fibroid distorting the uterine cavity. Considerations: She wants the option most likely to improve fertility while addressing symptoms.

Which of the following is the most appropriate next step in management?