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167 questions
On the first pelvic examination of an 18-yearold nulligravida, a soft, fluctuant mass is found in the superior aspect of the right labia majora. This is asymptomatic. She tells you it has been present for several years and seems to be enlarging slightly. There is no defect in the inguinal ring. Which of the following is the most likely diagnosis?
A pregnant woman is being followed by a nephrologist for chronic glomerulonephritis. Which of the following findings is normal at 28 weeks' gestation?
A 24-year-old nullipara is being evaluated for infertility. On pelvic examination, she has a single cervix. A diagnostic laparoscopy shows a double uterine fundus. Which of the following is the most likely diagnosis of her uterine anomaly? septate uterus
A 19-year-old woman who is 2 months postpartum complains of palpitations, heat intolerance, tremulousness, weight loss, and fatigue. Her thyroid is prominent and firm but nontender. Serum TSH level was undetectable. A nuclear medicine radioactive iodine uptake is performed and shows no uptake of iodine in the neck. Which of the following is the most appropriate next step?
For each item, select the ONE best lettered option that is most closely associated with it. Each lettered heading may be selected once, more than once, or not at all. A 42-year-old obese woman complains of hirsutism, amenorrhea, and difficulty becoming pregnant. Cushing's syndrome Addison's disease Klinefelter syndrome hyperparathyroidism hypothyroidism
A woman at 31 weeks' gestation complains of feeling dizzy and lightheaded when she lies on her back. She is Rh negative but denies vaginal bleeding, abdominal trauma, or abdominal pain. The diagnosis is probably the supine hypotensive syndrome. She has an uncomplicated spontaneous vaginal delivery with an estimated blood loss of 450 mL. Her infant is Rh positive and she receives 300 g of Rh immunoglobulin (one vial) within 72 hours after delivery. This dose is sufficient to prevent Rh isoimmunization after what amount of fetal red cells enters the maternal circulation?
A 39-year-old pregnant woman with chronic hypertension and one prior pregnancy is now at 38 weeks' gestation. She comes to labor and delivery with profuse vaginal bleeding and abdominal pain of sudden onset. If the patient has a placental abruption, which of the following is the most likely risk factor