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Old 07-03-2015
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Default Nbme question. Can u answer it?

24 female comes routine health examination. Menstrual history regular menses at 28 days interval And last 5-6 days. Last menstrual period was 3 weeks ago. No medication history. Bimanual examination: 5 cm mildly tender left adnexa. Pregnancy test is negative. Which is most appropriate next step management?
1. Repeat examination in 2 weeks
2. Serum CA-125 conc
3. AFP measurement
4. CT scan pelvis
5. Diagnostic laprascopy
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