Pelvic inflammatory disease (PID) MCQs (100% Correct Answers)

You are seeing a 17-year old female in your office inquiring about pelvic inflammatory disease. She has been sexually active with multiple partners and not used condoms. You inform her that pelvic inflammatory disease is due to which of the following disease processes? A. An ascending an infection from the lower to the upper female genital tract B. An immune-mediated hypersensitivity reaction to antibodies lining the upper female genital tract C. A post-surgical pelvic infection seen after cesarean sections D. An infection that started in the appendix with hematogenous spread to the upper female genital tract E. Menstrual regurgitation and implantation into the upper female genital tract correct answers A. An ascending an infection from the lower to the upper female genital tract Explanation: Pelvic inflammatory disease (PID) is defined as an inflammation of the upper genital tract due to an infection in women. The disease affects the uterus, fallopian tubes, and/or ovaries. It is typically an ascending infection, spreading from the lower genital tract. The majority of cases PID are related to a sexually transmitted infection. What is the incidence of pelvic inflammatory disease (PID) in the US? A. 1000 cases of PID every year B. 150,000 cases of PID every year C. 500,000 cases of PID every year D. 750,000 cases of PID every year E. 1 million cases of PID every year correct answers E. 1 million cases of PID every year Explanation: The exact number of women who experience PID each year is difficult to determine. Statistics probably underestimate the true number. PID occurs most frequently in women ages 15 to 25 years. 10-15% of women experience PID at least once in their life, most commonly when they are aged 20-24. An estimated one million women are treated for PID in the United States each year, and some 75,000 suffer infertility because of damage to the uterus and fallopian tubes resulting from untreated PID. The disease leads to approximately 2.5 million office visits and 125,000-150,000 hospitalizations yearly. In UK, the rate of definite PID diagnosis in primary care is around 280/100,000 person-years In the United States the number of overall hospitalized cases of PID is decreasing. What is the most likely reason for this decrease? A. Decrease in reporting of PID B. Increase in prevention messages C. Increase in outpatient treatment of PID