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  #1  
Old 04-16-2010
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Default 23 yo woman with increased β-hCG

A 23-year-old woman has a progressive increase in her serum β-human chorionic gonadotropin (β-hCG) concentrations during an 8-week
period. A hydatidiform mole is removed, but the β-hCG concentration continues to increase. Which of the following is the most likely
diagnosis?

(A) Adrenal adenoma
(B) Choriocarcinoma
(C) Ectopic pregnancy
(D) Pituitary insufficiency
(E) A second noninvasive mole
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Old 04-16-2010
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Hmm, not sure but c?
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Old 04-16-2010
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Originally Posted by HouseWannabe View Post
Hmm, not sure but c?

no... try again. u know the answer but u are just refusing to pick it. i did the same. there it was and YET i chose to pick E (which isnt the answer either)
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Old 04-16-2010
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no... try again. u know the answer but u are just refusing to pick it. i did the same. there it was and YET i chose to pick E (which isnt the answer either)
lol my brain is screaming Choriocarcinoma but i have no explanation so i went with the safer bet.
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Old 04-16-2010
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lol my brain is screaming Choriocarcinoma but i have no explanation so i went with the safer bet.
u see.. always listen to that neurotic screaming voice within.

it is choriocarcinoma!
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Old 04-16-2010
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u see.. always listen to that neurotic screaming voice within.

it is choriocarcinoma!
Lol listening to my gut intinct was the hardest to do when i was preparing. If you have the full explanation can you please post it.
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  #7  
Old 04-16-2010
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Lol listening to my gut intinct was the hardest to do when i was preparing. If you have the full explanation can you please post it.

no sorry no explanation. i was hoping someone else did.
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no sorry no explanation. i was hoping someone else did.
Actually,there s an explanation guys.Patients with complete hydatidiform have 20% chance of developing choriocarcinoma
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Old 04-18-2010
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Actually,there s an explanation guys.Patients with complete hydatidiform have 20% chance of developing choriocarcinoma
ok so 20% chance of choriocarcinoma. but couldnt E be the answer at all? is it highly unlikely then to have a hidden mola somewhere? or when a curretage is done ALL of the mola is DEFINITELY removed?
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ok so 20% chance of choriocarcinoma. but couldnt E be the answer at all? is it highly unlikely then to have a hidden mola somewhere? or when a curretage is done ALL of the mola is DEFINITELY removed?
yes i agree.Therefore they say what is mostly the diagnosis ,so the trophoblastic tissue probably became malignant ,and we know complete mole is the most risk factor .Here we are then
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