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A 17-Year-Old Sexually Active Female Who Began Having Periods at Age

Question 6

Multiple Choice

A 17-year-old sexually active female who began having periods at age 14 reports having moderate to severe dull lower abdominal pain associated predominantly with periods but that occurs at other times as well. The history reveals a recent onset of these symptoms. A pregnancy test is negative. Which course of action is most important?


A) Perform a full diagnostic workup to evaluate potential causes.
B) Prescribe a prostaglandin synthetase inhibitor.
C) Start a 3- to 6-month trial of oral contraceptive pills.
D) Suggest using transcutaneous electrical nerve stimulation.

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