This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Salpingitis /Endosalpingitis is best confirmed by: 
Select and explain. 
A. Marsupialisation Hysteroscopy + Laparascopy, B. X-ray, C. Hysterosalpingography, D. Sonosalpingography
A: Marsupialisation Hysteroscopy + Laparascopy
Answer: A: Marsupialisation Hysteroscopy + Laparascopy 
Explanation: Both Hysteroscopy and laparoscopy cab give a confirmed diagnosis of salpingitis and endosalpingitis. Features of salpingitis such as pus extruding from the fimbrial end and adhesions can be visualized under direct laparoscopy. Although both the procedures cannot be used as a routine investigation, they are sure to confirm the diagnosis. Ref: Blaustein's Pathology of the Female Genital Tract By Ancel Blaustein, Robe J. Kurman; 5th edition, Pages 622-25; Shaw's Textbook of Gynaecology; 13th edition, Pages 417-28; Family Practice Guidelines By Jill C. Cash, Cheryl A. Glass; 347 -48