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Chapter: 18 / Q: 57
A 27 year old waitress has pelvic pain, dysmenorrhea and increasingly heavy periods. She also complains of dyspareunia. There is generalized pelvic tenderness without peritonism. Pelvic US is normal. What is the most likely diagnosis?
Chapter: 18 / Q: 58
A 14 year old girl is clinically obese. She has not started her periods yet and has severe acne. Among her investigation, a high insulin level is found. What is the most probable diagnosis?
Chapter: 18 / Q: 59
An 18 year old girl with primary amenorrhea complains of severe abdominal pain every 4-8weeks which is now getting worse. Exam: lower abdominal mass is felt. What is the most probable diagnosis?
Chapter: 18 / Q: 60
A 32 year old woman P3 of 39wks gestation reports having spontaneous ROM (rupture of membrane 4days ago. She didn’t attend the delivery suite as she knew that would happen and had already decided on a home birth. Today she feels very hot and sweaty. She thought that she starting to have labour p
Chapter: 18 / Q: 61
A 42 year old overweight smoker comes with heavy periods. A scan reveals a normal uterus. She would like a long term treatment with minimal side effects that would offer treatment for the menorrhagia and provide contraception. She is unsure whether she would like children. She is adamant that s
Chapter: 18 / Q: 62
You are called to see a 20 year old woman 2 hour post-LSCS (lower segment cesarean section). She has not passed urine since her operation. She denied any urinary symptoms preoperatively. Examination: appears unwell, temp 37.5C, BP 94/73mmHg, pulse 116bpm, saturation 97%. Her abdomen distended wit
Chapter: 18 / Q: 63
A 40 year old teetotaler woman is recovering from a hysterectomy 2 days ago. At night she becomes agitated and complains of seeing animals and children walking around the ward. What is the most likely diagnosis?
Chapter: 18 / Q: 64
A 28 year old woman who is 32 weeks pregnant in her 3rd pregnancy is diagnosed as a case of placental abruption. After all the effective measures, she is still bleeding. What is the underlying pathology?
Chapter: 18 / Q: 65
A 28 year old pregnant lady presents with severe lower abdominal pain with excessive per vaginal bleeding at 34 weeks gestation. What should be the initial investigation of choice?
Chapter: 18 / Q: 66
A 33 year old female presents with sudden severe colicky abdominal pain in her RIF (right iliac fossa). A mobile mass is felt on examination. What is the most likely diagnosis?
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