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“suspected endometriosis” implies it is not definitive yet. Therefore for an official dx to be made an exploratory laparoscopy is the next step in management. This could lead to excision/ ablation, but the right answer for this card is just “ex lap” see dx section right above your screenshot on AMBOSS for: " Laparoscopy (confirmatory test): may show endometriotic implants and adhesions"
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You make a great point! I totally missed the ‘suspected’ as the operative word there too 
Change to “{{c1::Diagnostic laparoscopy}}”?
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