Notes in - ALL SAR 1 ANKI Decks -::Medace Qbank

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Published	07/22/2024	A 39-year-old man with chronic alcoholism is brought to the hospital after a fall, while intoxicated. He has completely recovered except for a bruise …
Published	07/22/2024	A 34-year-old woman with uterine fibroids and heavy menses presents with several months of progressive fatigue. She has recently been craving ice chip…
Published	07/22/2024	A 65-year-old man presents with a chronic history of malaise, shortness of breath and paraesthesia in his hands. He appears tired and pale while speak…
Published	07/22/2024	A 27-year-old man presents with increasing tiredness and shortness of breath. A macrocytic anaemia with reticulocytes is discovered on blood tests and…
Published	07/22/2024	A 10-year-old Caucasian male presents with fatigue, jaundice, and mild splenomegaly. His family history is notable for an older sibling with a similar…
Published	07/22/2024	A 23-year-old Asian man presents to his GP complaining of shortness of breath following exercise. He has always been a little unfit and decided to sta…
Published	07/22/2024	A 30-year-old woman presents with increasing fatigue, but no other symptoms. Her past medical history is negative and she is not on any medications. A…
Published	07/22/2024	A 56 year old Scottish woman, previously fit and well, presents to her family physician with a 2-week history of increasing tiredness. On examination …
Published	07/22/2024	A 32-year-old male presents to your office with concern about progressive fatigue and lower extremity edema. He has experienced decreased exercise tol…
Published	07/22/2024	A 44-year-old Asian female presents with a two-month history of shortness of breath and lethargy. She denies any intolerance to the cold or any change…
Published	07/22/2024	A 21 year old man has episodic right upper quadrant pain. An abdominal ultrasound reveals gallstones. His father had a splenectomy when he was young. …
Published	07/22/2024	A 29-year-old pregnant woman presents with anemia. She has a balanced diet and no gastrointestinal problems. Hb 9.8 gm/ di, MCV 68 fl. What is the nex…
Published	07/22/2024	A 20-year-old black male presents to the emergency room complaining of diffuse bone pain and requesting narcotics for his sickle cell crisis. Which of…
Published	07/22/2024	A 45-year-old male presents to the emergency department with fatigue, jaundice, and dark urine. Laboratory findings reveal anemia, elevated bilirubin …
Published	07/22/2024	A 66-year-old man presents complaining of a three-month history of weakness, tingling in the limbs and a sore tongue. The patient notes an undesired 5…
Published	07/22/2024	A 68-year-old woman has been found to have a low hemoglobin in the context of longterm rheumatoid arthritis and chronic kidney disease. What does the …
Published	07/22/2024	A 45 year old woman who is taking multiple medications for the treatment of rheumatoid arthritis presents with dizziness, fatigability and lack of ene…
Published	07/22/2024	A 21 year old female medical student presents to her family physician with fatigue, shortness of breath and a sore mouth. On examination she is pale w…
Published	07/22/2024	A 38-year-old female presents with repeated episodes of sore throat. She is on no medications, does not use ethanol, and has no history of renal disea…
Published	07/22/2024	A 23-year-old woman of Italian extraction is found to have a hypochromic microcytic anemia of 10 g/dL. In addition, there is a fair degree of anisocyt…
Published	07/22/2024	A 38 year old woman with known sickle- cell disease presents to the emergency department on Christmas Eve with severe back pain. Observations reveal: …
Published	07/22/2024	A 66 year old woman is confused, and lethargic. Her son reports gradual confusion over the last 4 months. On examination, she looks pale. Blood tests …
Published	07/22/2024	A 28-year-old female, currently in her second trimester of pregnancy, presents to her obstetrician with complaints of persistent fatigue, weakness, an…
Published	07/22/2024	A 7-year-old boy has severe microcytic anemia due to beta-thalassemia major (homozygous). He requires frequent blood transfusions (once every 6 weeks)…
Published	07/22/2024	A 30-year-old patient was started on vitamin B12 replacement after presenting with macrocytic anemia and pins and needles sensation in his hands. Afte…
Published	07/22/2024	A 68 year old woman with ischaemic heart disease and rheumatoid arthritis presents with worsening angina. Bloods show: haemoglobin 98 g/L; MCV 80 fL; …
Published	07/22/2024	A 47-year-old woman presents to clinic concerned about her recent ill health. She has noticed over the last three months that she has been suffering f…
Published	07/22/2024	A 29 year old woman at 28 weeks gestation comes in for an antenatal visit. Her blood tests reveal:Hb: 11.0 g/dL MCHC: normal range MHC: normal What is…
Published	07/22/2024	A 55-year-old man complains of a 4-week history of general malaise and fatigue, he has also noticed his trousers have become more loose fitting. A blo…
Published	07/22/2024	A 50-year-old man presents to the hematology clinic with a two-month history of increasing fatigue, easy bruising, and frequent infections. Physical e…
Published	07/22/2024	An 18-year-old man, of Italian extraction, is found to have a hypochromic microcytic anemia of 10 g/dL. In addition, there are a fair number of anisoc…
Published	07/22/2024	A pale and lethargic 2 year old boy is brought to the emergency department by his parents. He recently started nursery. His temperature is 36.9°C, pul…
Published	07/22/2024	A 29-year-old woman presents complaining of shortness of breath, especially when walking up stairs. She is starting to struggle with yoga classes, whi…
Published	07/22/2024	A 25 year old couple attends to the primary care physician for pregnancy counselling. Both of them happen to have beta-thalassaemia trait and they are…
Published	07/22/2024	A 32-year-old woman is confirmed as being 6 weeks pregnant. She feels well, and has no past medical history. This is her second pregnancy; the first p…
Published	07/22/2024	A 22 year old man is admitted to the hospital with lethargy after a recent flu-like illness. His medical history includes hereditary spherocytosis. Ex…
Published	07/22/2024	A 44-year-old woman presents with recurrent fever, pallor, malaise and shortness of breath. She has noticed a petechial rash on her skin and small bru…
Published	07/22/2024	A 29-year-old woman complains of a 1-week history of weakness and malaise, she has recently become a vegetarian and eats mostly green vegetables and d…
Published	07/22/2024	A 52-year-old African-American diabetic requires hemodialysis for end-stage renal disease. She has hemoglobin of 9, hematocrit of 27, and normal red c…
Published	07/22/2024	A 64-year-old man is evaluated in the office for a gradual decrease in exercise tolerance over the past 2 months. He has ostearthritis of the right kn…
Published	07/22/2024	A 35-year-old female who is recovering from Mycoplasma pneumonia develops increasing weakness. Her Hgb is 9.0 g/dL and her MCV is 110. Which of the fo…
Published	07/22/2024	A 16 year old boy with known sickle-cell disease is brought to the emergency department profoundly unwell. He has a reduced conscious level, temperatu…
Published	07/22/2024	A 55-year-old male is being evaluated for constipation. There is no history of prior gastrectomy or of upper Gl symptoms. Hemoglobin is 10 g/dL, mean …
Published	07/22/2024	A 21-year-old woman is suspected of having mycoplasma pneumonia based on symptoms of a dry cough, fever, normal lung examination but abnormal chest x-…
Published	07/22/2024	A 19-year-old man is found to have low hemoglobin on routine screening. He feels well at the present time, but in the past he has had two presentation…
Published	07/22/2024	A 30-year-old black man plans a trip to India and is advised to take prophylaxis for malaria. Three days after beginning treatment, he develops pallor…
Published	07/22/2024	An 18-year-old man is seen in the clinic for routine assessment. He reports no active symptoms,there is no past medical history and he is not taking a…
Published	07/22/2024	A 38-year-old woman presents with a 3-day history of fever and confusion. She was previously healthy and is taking no medications. She has not had dia…
Published	07/22/2024	A 65-year-old man presents to the hematology clinic following a recent hospital admission for pneumonia during which he was treated with a course of a…
Published	07/22/2024	A 70-year-old intensive care unit patient complains of fever and shaking chills. The patient develops hypotension, and blood cultures are positive for…
Published	07/22/2024	A 13 year old girl with significant menorrhagia is investigated to see if there is an underlying bleeding disorder. Her investigations show a normal p…
Published	07/22/2024	A 25-year-old woman complains of persistent bleeding for 5 days after a dental extraction. She has noticed easy bruisability since childhood, and was …
Published	07/22/2024	A 22-year-old Caucasian woman presents with a 1-day history of a painful right leg which is erythematous on appearance and tender on palpation. She st…
Published	07/22/2024	A 32-year-old previously healthy woman, was admitted to the hospital with an apparent loss of conciousness. You suspect a diagnosis of thrombotic thro…
Published	07/22/2024	A 19-year-old man is brought to the hospital after injuring his knee playing football. The knee is swollen and painful to move. He has no prior histor…
Published	07/22/2024	A previously healthy 4-year-old boy is brought to the emergency department because of a 1-day history of pain and swelling of his left knee joint. He …
Published	07/22/2024	A 60-year-old woman develops redness and leg swelling after a 14-hour plane flight from New Zealand. A venous Doppler confirms the diagnosis which was…
Published	07/22/2024	What is the most likely diagnosis in a 2 year old boy who presents with an apparently unprovoked knee haemarthrosis? Initial investigations show that …
Published	07/22/2024	Mrs. Anderson, a 65-year-old woman with a history of deep vein thrombosis (DVT) and pulmonary embolism (PE), was admitted to the hospital with severe …
Published	07/22/2024	A patient with systemic lupus erythematosus (SLE) and immune thrombocytopenia (ITP) presents with a platelet count of 5x109/L. Which of these is the m…
Published	07/22/2024	A 17-year-old male, with a known case of hemophilia B presented to the ER because of right joint pain with movement restriction, no recombinant factor…
Published	07/22/2024	Mr. Reynolds, a 42-year-old male, presented with a history Of bleeding symptoms In the context of routine clerking of a pre-surgical patient, which of…
Published	07/22/2024	A 34 year old woman developed a purpuric rash on the back of her legs. She also reports frequent nose bleeds and menorrhagia. A blood count shows:Haem…
Published	07/22/2024	A patient who is admitted to the intensive care unit (ICU) with multi-organ failure and sepsis is suspected of having heparin-induced thrombocytopenia…
Published	07/22/2024	A 69 year old male presented to Accident & Emergency following a fall. He had slipped and fallen in his home and his daughter had rushed him immed…
Published	07/22/2024	A 73-year-old woman is admitted for deep venous thrombosis and concern for pulmonary embolism. She has a history of type 2 diabetes mellitus, hyperten…
Published	07/22/2024	A 45-year-old man collapses at home and is brought to accident and emergency. He has a fever at 39.5°C and blood pressure is 90/60mmg, although he is …
Published	07/22/2024	A 65 year old man is admitted as a medical emergency. A diagnosis of pulmonary embolism is made. Which of the following features in his clinical histo…
Published	07/22/2024	A patient with bacterial endocarditis develops thrombophlebitis while hospitalized. His course in the hospital is uncomplicated. On discharge he is tr…
Published	07/22/2024	A patient who is suspected to have TTP as a result of sudden neurological deterioration along with the developmental of anemia, thrombocytopenia and a…
Published	07/22/2024	A 16-year-old boy presents to his GP complaining of nosebleeds and bleeding after brushing his teeth. He is unsure of how long this has been occurring…
Published	07/22/2024	18. A junior doctor phones you about a patient who is unwell after an episode of postcholecystectomy pancreatitis. The patient has a normochromic norm…
Published	07/22/2024	A Dutch woman is referred following the development of a pulmonary embolism without obvious provoking factors. If she were investigated further, which…
Published	07/22/2024	A previously well 26 year old woman presents at term, after an uneventful pregnancy, in the late stages of labour. This is her first pregnancy. Delive…
Published	07/22/2024	A 36-year-old multiparous woman and her husband request information regarding permanent sterilization. When you advise them about vasectomy in compari…
Published	07/22/2024	A 30-year-old woman with a history of type 2 diabetes presents to her healthcare provider seeking advice on contraception. She is currently not using …
Published	07/22/2024	The most common reason for failure of barrier contraceptive (by pregnancy or STD transmission) is which of the following?breakage inconsistent us…
Published	07/22/2024	Choose from below the single best contraceptive method for a forty five-year-old woman with a BMI of 40, smoker with multiple fibroids, who is in a st…
Published	07/22/2024	A 28-year-old woman visits her healthcare provider for a postpartum check-up. She gave birth to a healthy baby two months ago and is currently breastf…
Published	07/22/2024	A 25-year-old GO presents to discuss birth control options. She denies any past medical history and does not smoke tobacco. She is interested in takin…
Published	07/22/2024	Over the years the estrogen component of the oral contraceptive pill has been dramatically decreased. This has in turn minimized certain side effects.…
Published	07/22/2024	A 30-year-old woman participates in a contraceptive study. Over the course of one year, using a specific contraceptive method, she experiences no preg…
Published	07/22/2024	A 38-year-old female had a history of one vaginal delivery 1 year ago, followed by the development of dilated cardiomyopathy after her birth by 6 mont…
Published	07/22/2024	A patient presents requesting hormonal contraception. She has been researching her options on the Web and has become confused by the large variety of …
Published	07/22/2024	A 38-year-old woman is seeking advice regarding contraceptive options, as she wishes to avoid an unplanned pregnancy during her ongoing cancer treatme…
Published	07/22/2024	A 28-year-old woman consults her healthcare provider for birth control. She opts for a progestin-only contraceptive method. Compared to users of combi…
Published	07/22/2024	A college student has been "surfing the Web" as she is considering initiating oral contraceptive (OCP) for contraception and cycle control. However, a…
Published	07/22/2024	An 18-year-old woman presents for care because a condom broke during sexual intercourse. Coitus occurred 1 day ago when she was at midcycle. She does …
Published	07/22/2024	A 33-year-old woman cannot feel the string of her intrauterine contraceptive device (IUCD). Her last menstrual period (LMP) was 1 week ago. A serum pr…
Published	07/22/2024	A 23-year-old patient is considering contraceptive methods but is devoutly religious and will not accept a method that may "cause an abortion." What i…
Published	07/22/2024	A premedical student presents requesting reversible contraception. She is healthy without any problems and a normal examination. As you review her opt…
Published	07/22/2024	A 25-year-old woman had an unexpected condom break during intercourse. Concerned about pregnancy, she seeks emergency contraception within 72 hours fo…
Published	07/22/2024	Different sex hormones have different effects on the cervical mucus. Which of the following statements accurately describes the effect of estrogen?It …
Published	07/22/2024	A 15-year-old girl, experiencing primary amenorrhea, seeks medical advice.Chromosomal analysis reveals the presence of Barr bodies. In which karyotype…
Published	07/22/2024	A 35-year-old woman visits her gynecologist with complaints of heavy menstrual bleeding (menorrhagia) that has been affecting her daily life. She repo…
Published	07/22/2024	One of your patients with polycystic ovarian syndrome presents to the emergency room complaining of prolonged, heavy vaginal bleeding. She is 26 years…
Published	07/22/2024	A 4-year-old girl is brought in by her mother for evaluation of clitoral enlargement. She is tall for her age, with no breast or axillary hair develop…
Published	07/22/2024	A 33-year-old woman who underwent normal puberty describes an 18-month history of secondary amenorrhea and hot flashes. A pregnancy test was negative.…
Published	07/22/2024	A 16-year-old girl with primary amenorrhea and absence of secondary sexual characteristics. FSH level was elevated. The next step is:Karyotype (Chromo…
Published	07/22/2024	An 18-year-old college student, who has recently become sexually active, is seen for severe primary dysmenorrhea. She does not want to get pregnant, a…
Published	07/22/2024	A 19-year-old patient presents to your office with primary amenorrhea. She has normal breast and pubic hair development, but the uterus and vagina are…
Published	07/22/2024	A 14-year-old girl is brought to you for evaluation of lower abdominal pain that has been progressive over the preceding 4 months. History indicates t…
Published	07/22/2024	Your patient presents with a history of abnormal uterine bleeding for the last six months. She has used OCPs in the past for both birth control and to…
Published	07/22/2024	A 28-year-old patient complains of amenorrhea after dilation and curettage (D&C) for postpartum bleeding. She denies any other complaints and did …
Published	07/22/2024	A 30-year-old woman presents with chronic pelvic pain, dysmenorrhea, and pain during intercourse. She describes these symptoms worsening over the past…
Published	07/22/2024	A postmenopausal patient comes to your office complaining of vaginal bleeding and abdominal pain. Which of the following is the most important diagnos…
Published	07/22/2024	A 32-year-old woman has been struggling with infertility for the past two years. Despite multiple attempts at conception, she has not been successful …
Published	07/22/2024	A 16-year-old girl has not experienced menarche. Examination shows absence of breast development and small but otherwise normal female pelvic organs. …
Published	07/22/2024	The ultrasound scan result of a 38-year-old woman in a gynecology clinic reveals that both her ovaries have multiple peripheral follicles with a volum…
Published	07/22/2024	A 30-year-old woman presents to her gynecologist complaining of severe menstrual pain that has been progressively worsening over the past year. She re…
Published	07/22/2024	A 53-year-old woman is diagnosed with anovulatory dysfunctional bleeding. Which of the following is the most appropriate medical therapy?orally admini…
Published	07/22/2024	Amenorrhea, estrogen deficiency, and elevated circulating gonadotropin levels are noted in a normal appearing 27-year-old woman. Which of the followin…
Published	07/22/2024	An 18-year-old consults you for evaluation of disabling pain with her menstrual periods. The pain has been present since menarche and is accompanied b…
Published	07/22/2024	A 26-year-old GOP0 comes to your office with a chief complaint of being too hairy. She reports that her menses started at age 13 and have always been …
Published	07/22/2024	A 35-year-old woman presents to her gynecologist with a history of heavy menstrual bleeding over the past six months. She reports soaking through mult…
Published	07/22/2024	A 25-year-old woman presents to her gynecologist with complaints of irregular menstrual cycles and concerns about difficulty conceiving. She reports h…
Published	07/22/2024	A 25-year-old woman who underwent menarche at 11 years of age presents with a history of irregular menstrual cycles over the last 12 months, increased…
Published	07/22/2024	An 18-year-old patient presents to you for evaluation because she has not yet started her period. On physical examination, she is 5 ft 7 in tall. She …
Published	07/22/2024	NICE guidelines would recommend the best treatment of a forty-year-old woman with regular, heavy periods who smokes 20 cigarettes a day, has a BMI of …
Published	07/22/2024	A 34-year-old woman, presents to her gynecologist complaining of chronic pelvic pain, particularly during menstruation. She reports experiencing pain …
Published	07/22/2024	Your patient is a 23-year-old woman with primary infertility. She is 5 ft 4 in tall and weighs 210 lb. She has had periods every 2 to 3 months since s…
Published	07/22/2024	27 yay, a rast paisents your fire comp airy of momenting depression, often calls in sick at work because she cannot function when she has the symptoms…
Published	07/22/2024	A 23-year-old woman presents for evaluation of a 7-month history of amenorrhea. Examination discloses bilateral galactorrhea and normal breast and pel…
Published	07/22/2024	A 32-year-old morbidly obese diabetic woman presents to your office complaining of prolonged vaginal bleeding. She has never been pregnant. Her period…
Published	07/22/2024	A 25-year-old woman experiences galactorrhea and amenorrhea of & weeks duration with irregular vaginal bleeding. Which of the following serum assa…
Published	07/22/2024	A mother brings her 14-year-old daughter into the office for consultation. The mother says her daughter should have started her period by now. She is …
Published	07/22/2024	You have just performed diagnostic laparoscopy on a patient with chronic pelvic pain and dyspareunia. The patient had multiple implants of endometrios…
Published	07/22/2024	A 28-year-old nulligravid patient complains of bleeding between her periods and increasingly heavy menses. Over the past 9 months, she has had two dil…
Published	07/22/2024	A 42-year-old woman presents to the gynecology clinic with a history of persistent heavy menstrual bleeding (menorrhagia) that has not responded to co…
Published	07/22/2024	A 24-year-old woman presents to her gynecologist with a complaint of severe menstrual cramps (dysmenorrhea) that significantly interfere with her dail…
Published	07/22/2024	A 28-year-old woman has been trying to conceive for several months. She has been tracking her menstrual cycle closely and is aware of her ovulation da…
Published	07/22/2024	A 42-year-old woman presents to her gynecologist with a history of heavy, painful menstrual periods that have been ongoing for several years. She desc…
Published	07/22/2024	A 45-year-old woman who had two normal pregnancies 15 and 18 years ago presented with the complaint of amenorrhea for 7 months. She expresses the desi…
Published	07/22/2024	In the evaluation of a 26-year-old patient with 4 months of secondary amenorrhea, you order serum prolactin and B-hCG assays. The ß-hCG test is positi…
Published	07/22/2024	A 30-year-old woman trying to conceive presents to her gynecologist for guidance on optimizing her fertility. She meticulously tracks her menstrual cy…
Published	07/22/2024	During the evaluation of secondary amenorrhea in a 24-year-old woman, hyperprolactinemia is diagnosed. Which of the following conditions could cause i…
Published	07/22/2024	A 21-year-old woman is referred to an endocrinologist due to secondary amenorrhea. She reports a history of restrictive eating patterns and a signific…
Published	07/22/2024	A 23-year-old woman with irregular menses complains of facial hair increasing in amount over several years. She is sexually active but does not wish t…
Published	07/22/2024	A 28-year-old woman presents to her gynecologist with concerns about her menstrual cycle. She and her partner have been trying to conceive for several…
Published	07/22/2024	A 29-year-old GO comes to your OB/GYN office complaining of PMS. On taking a more detailed history, you learn that the patient suffers from emotional …
Published	07/22/2024	A twenty five-year-old girl presents with mid-cycle pain on a regular monthly basis. She is sexually active and does not take any contraception. The p…
Published	07/22/2024	A 28-year-old woman with regular menstrual cycles presents to her gynecologist with concerns about mid-cycle pelvic discomfort. Upon examination, the …
Published	07/22/2024	A 16-year-old phenotypic girl is seen for primary amenorrhea. Karyotyping shows 46, XY. In counseling, you advise gonadectomy under which of the follo…
Published	07/22/2024	A 14-year-old girl complains of irregular vaginal bleeding. Her general examination and pelvic organs are normal. Which of the following is the most l…
Published	07/22/2024	A 28-year-old GO presents to your office for an infertility workup. She and her partner have been having regular unprotected intercourse for 14 months…
Published	07/22/2024	A mother brings her daughter in to see you for consultation. The daughter is 17 years old and has not started her period. She is 4 ft 10 in tall. She …
Published	07/22/2024	A 52 year old woman complains of heavy menstrual bleeding that lasts for seven days and causes her to miss work. She has had anemia in the past and ta…
Published	07/22/2024	A 30-year-old woman presents with chronic pelvic pain and suspected endometriosis. To visualize and diagnose endometriotic lesions within the pelvic c…
Published	07/22/2024	A 35-year-old accountant complains of episodic bloating, breast tenderness, dyspareunia, irritability, and depression, which leave her with "only 1 go…
Published	07/22/2024	You have just diagnosed a 21-year-old infertile woman with polycystic ovarian syndrome. The remainder of the infertility evaluation, including the pat…
Published	07/22/2024	A 39-year-old G3P3 complains of severe, progressive secondary dysmenorrhea and menorrhagia. Pelvic examination demonstrates a tender, diffusely enlarg…
Published	07/22/2024	In a young, obese, chronically anovulatory woman with an elevated LH:FSH (luteinizing hormone:follicle-stimulating hormone) ratio and polycystic-appea…
Published	07/22/2024	A 90-year-old G5P5 with multiple medical problems is brought into your gynecology clinic accompanied by her granddaughter. The patient has hypertensio…
Published	07/22/2024	A couple, both 35 years old, present to a fertility clinic with secondary infertility. What is the definition of secondary infertility?The inability t…
Published	07/22/2024	Hysterosalpingography entails injection of radiopaque dye through the uterus with fluoroscopic visualization of the uterine cavity and tubal lumen. Th…
Published	07/22/2024	A 25-year-old woman presents to your office for evaluation of primary infertility. She has regular periods every 28 days. She has done testing at home…
Published	07/22/2024	Your patient delivers a 7-Ib 0-oz male infant at term. On physical examination, the baby has normal-appearing male external genitalia. However, the sc…
Published	07/22/2024	A 45-year-old woman presents with a sensation of pressure and "something coming down" in the pelvic area especially during activities like lifting hea…
Published	07/22/2024	A 30-year-old male presents with delayed puberty, lack of secondary sexual characteristics, and infertility. Further evaluation reveals low levels of …
Published	07/22/2024	A 28-year-old woman and her partner present to their physician as they have not been able to achieve pregnancy during the past 1 year. Her partner, ag…
Published	07/22/2024	An 81-year-old woman presents to your office complaining that her uterus fell out 2 months ago. She has multiple medical problems, including chronic h…
Published	07/22/2024	A 49-year-old G4P4 presents to your office complaining of a 2-month history of leakage of urine every time she exercises. She has had to limit her phy…
Published	07/22/2024	A 23-year-old G1P1 patient is using barrier contraception and is 1 week past onset of her last mense. She is found to have bilaterally equal adnexal p…
Published	07/22/2024	A 43-year-old woman accompanied by her husband reports to you a history of pelvic adhesions and bilateral distal occlusion of both fallopian tubes wit…
Published	07/22/2024	A 38-year-old woman complaining of painful heavy menstrual cycles for the last six months. On examination, there is a tender enlarged uterus. From the…
Published	07/22/2024	A 9-year-old girl presents for evaluation of regular vaginal bleeding.History reveals thelarche at age 7 and adrenarche at age 8. Which of the followi…
Published	07/22/2024	A 32-year-old woman, GOP0, presents to a urogynecologist with complaints of pelvic organ prolapse. She reports a feeling of vaginal bulge and discomfo…
Published	07/22/2024	A 32-year-old woman and her partner have been trying to conceive for over a year without success. They decide to seek infertility evaluation and treat…
Published	07/22/2024	A 53-year-old postmenopausal woman, G3P3, presents for evaluation of troublesome urinary leakage 6 weeks in duration. Which of the following is the mo…
Published	07/22/2024	A 25-year-old woman presents to her gynecologist with complaints of swelling and discomfort in her vulvar area. The differential diagnosis of vulvar s…
Published	07/22/2024	A 46-year-old woman presents to your office complaining of something bulging from her vagina for the past year. It has been getting progressively more…
Published	07/22/2024	A 52-year-old woman visits her gynecologist complaining of persistent hot flashes, night sweats, and mood swings for the past few months. She reports …
Published	07/22/2024	A 72 year old postmenopausal patient with a history of five vaginal deliveries. The stress put on the pelvic floor by these deliveries predisposed her…
Published	07/22/2024	A 28-year-old woman in her third trimester of pregnancy (32 weeks gestation), presents to the obstetrics clinic with complaints of vulvar itching and …
Published	07/22/2024	A 28-year-old woman is seen for her first obstetric visit. Her LMP was 8 weeks ago. Her history is significant for infertility due to chronic salpingi…
Published	07/22/2024	While evaluating a 30-year-old woman for infertility, you diagnose a bicornuate uterus. You explain that additional testing is necessary because of th…
Published	07/22/2024	A 20-year-old patient complains of painful vulvar ulcers present for 72 hours. Examination reveals three tender, punched-out lesions with a yellow exu…
Published	07/22/2024	A 28-year-old G3P0 has a history of severe menstrual cramps, prolonged, heavy periods, chronic pelvic pain, and painful intercourse. All of her pregna…
Published	07/22/2024	A 51-year-old woman presents to her healthcare provider with hot flashes and sleep disturbances. She reports no menstrual periods for the past 12 mont…
Published	07/22/2024	A 30-year-old woman, experiencing recurrent pregnancy loss, consults her gynecologist. Diagnostic investigations reveal a uterine anomaly. Uterus with…
Published	07/22/2024	A 30-year-old woman and her partner have been attempting to conceive for over two years without success. They decide to seek the expertise of a reprod…
Published	07/22/2024	A patient presents with a complaint that prompted an assessment of the prolactin level. The level returns as elevated by threefold. Which of the follo…
Published	07/22/2024	You suspect that your infertility patient has an inadequate luteal phase. She should undergo an endometrial biopsy on which day of her menstrual cycle…
Published	07/22/2024	A patient who is now ovulating on clomiphene citrate has not been conceived. You wish to do a postcoital test to see if there has been a negative cerv…
Published	07/22/2024	A 32-year-old couple presents to a fertility clinic with a chief complaint of difficulty conceiving for the past 18 months. The initial evaluation in …
Published	07/22/2024	An 86-year-old woman presents to your office for her well-woman examination. She has no complaints. On pelvic examination performed in the supine and …
Published	07/22/2024	A 58-year-old G2P2 patient presents with complaints of severe vulvar pruritus. She is 10 years postmenopausal. Her examination is consistent with atro…
Published	07/22/2024	A couple presents for evaluation of primary infertility. The evaluation of the woman is completely normal. The husband is found to have a left varicoc…
Published	07/22/2024	A 28-year-old woman, presents to her gynecologist with complaints of intense vaginal itching and a greenish, foul-smelling discharge for the past few …
Published	07/22/2024	A 25-year-old sexually active woman presents to the gynecology clinic with complaints of lower abdominal pain and fever. She reports a recent history …
Published	07/22/2024	A 30-year-old woman presents with a complaint of malodorous vaginal discharge associated with itching. She denies any urinary symptoms or pelvic pain.…
Published	07/22/2024	You have recommended that your infertility patient return to your office during her next menstrual cycle to have her serum progesterone level checked.…
Published	07/22/2024	A 28-year-old woman presents to the gynecologist with a history of infertility. She and her partner have been trying to conceive for over a year witho…
Published	07/22/2024	A patient presents to your office approximately 2 weeks after having a total vaginal hysterectomy with anterior colporrhaphy and Burch procedure for u…
Published	07/22/2024	A 63-year-old patient presents with symptoms of vaginal itching, vaginal dryness, and dyspareunia. Which of the following is the most appropriate medi…
Published	07/22/2024	A 40-year-old G3P3 comes to your office for a routine annual GYN examination. She tells you that she gets up several times during the night to void. O…
Published	07/22/2024	A couple with male infertility characterized by a semen analysis with a sperm count of 14 million/mL (low), 25% motility (low), and 23% normal forms (…
Published	07/22/2024	A 33 year-old (G2 PO A2) woman with a previous history of regular menses, presents with secondary infertility. What is the most common cause of infert…
Published	07/22/2024	An infertile couple presents to you for evaluation. A semen analysis from the husband is ordered. The sample of 2.5 cc contains 25 million sperm per m…
Published	07/22/2024	A 51-year-old woman G3P3 presents to your office with a 6-month history of amenorrhea. She complains of debilitating hot flushes that awaken her at ni…
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