This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endometriosis & H, Subject name: Gynaecology & Obstetrics
[{'content': 'A 25 year old infeile lady is having menorrhagia. On examination an abdominal mass is palpable which is immobile. On PV examination- uterus and appendages are fixed. The most appropriate first line treatment in this case is \nSelect and explain. \nA. Diagnostic laparoscopy, B. Tubal microsurgery, C. Anti tubercular drugs, D. Hysterectomy', 'role': 'user'}, {'content': 'Answer: A \nExplanation: There can be 2 main diagnosis, Endometriosis and Tuberculosis. Menorrhagia is common with early tubercular endometritis but in this question there is history of an abdominal mass and hence it s likely a chronic presentation Endometriosis is a condition of estrogen access and is frequently associated with menorrhagia A laparoscopy is the best tool to diagnose endometriosis and also to take biopsies to confirm/rule out Tuberculosis', 'role': 'assistant'}]