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Old 08-22-2015
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Default Need help with OBGYN clinical mastery Form 1 concepts

Need help with OBGYN clinical mastery Form 1 concepts

1) 32 y/o lady G3P2 20 weeks gestation, uncomplicated pregnancy, uterus 20 week, u/s shows skeletal dysplasia = heterozygous achondroplasia. Advise the pt that this inheritance pattern of this disorder is which of the following. a) autosomal dominant b) autosomal recessive c) mitochondrial d)multifactorial WRONG e) x-linked dominant f) x-linked recessive


2) A 27 y/o primigravid chick 14 wks a days worth of nausea and right sided abdomen pain, loss appetite, 100 temperature, ab exam shows rlq tenderness with no rigidity/rebound. No vomiting, uncomplicated pregnancy. Leukocytes 16,500. Most likely diagnosis? a) appendicitis b)cholecystitis c) chorioamnionitis d)pyelonephritis(WRONG) e) salpingitis


3). 27 y/o primi 34 wks gestation, 1 day anxiety, sweating, crazy fast heart beat, knows persons but no orientation to place, 100 temperature, BP 160/100, thyroid gland contender and diffusely enlarged on palpation, hematocrit 39%. In addition to B adrenergic blocking agent therapy, next step in mngmnt? A) cephalosporin therapy b) levothyroxine therapy c) potassium iodide therapy d) propylthiouracil therapy e) irradiation of the thyroid gland
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Old 08-22-2015
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4) 31 y/o nulligravid chick, no menstrual period since stopping oral contraceptive 6 mo ago, increased libido, face acne, facial hair growth, scalp hair loss, 25 lb weight gain. Likes to sexy time with one dude w/ condoms. 54 height, 190b, BMI 333. Increased development of upper shoulder muskles. hair in her breast crack, and above belly button. Clitoris coming out of the hood. 2 cm solid mass in right ovary on u/s. Which hormone abnormal?

Why is the answer Testosterone??? why not dehydroepiandosteronesulfate?



5) 31 y/o g1p1 fever, right breast tenderness, breastfeeding newborn, type 1 diabetes controlled with insulin, 102 fever, engorgement of breasts bilaterally, erythematous non fluctuant tender area upper outer quadrant of right breast, no ab distention or tenderness.

Why is the answer mastitis?



6) 31 y/o chick 6 month hx pelvic cramps, pain with peeing, urinary urgency, pain relieved little bit with peeing, needs every half hour, abdominal exam shows suprapubic tenderness, anterior vaginal wall tender. diagnosis.

Why is the answer interstitial cystitis?



7) 31 y/o chick g5p4 21 weeks bright red vaginal bleeding for few hrs, no prenatal help, FHR 140/min, no contractions, bright red blood in posterior fornix of vagina, no bleeding from cervix, next step in mngmnt?

Why is the answer fetal ultrasonography?



8) 15 y/o gal, 1 wk ab pain, last yr had 10 moments of cramps, lasting 4 days roughly, never had menstrual period, has sex with one dude without contraception, 80 percentile height weight, 100 temperature, pulse 120, BP 90/50, ab shows moderate tenderness, mass palpated in suprapubic area in midline, cant see vervix cuz a bluish bulging vaginal tissue obscures upper vagina, urinary pregnancy test is NOT positive, diagnosis?

Why is answer hematocolpos?
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Old 08-25-2015
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bumpetty bump
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Old 08-28-2015
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1) achondroplasia autosomal dominant
2)appendicitis
3)propylthiouracil she is having a thyroid storm
4)sonography show an ovarian mass, so its probably a sertoli -leydig cell tumor
secreting testosterone, DHEA-s is secreted from the adrenal
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ballers (08-28-2015)
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Old 08-28-2015
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Quote:
Originally Posted by usimilar View Post
1) achondroplasia autosomal dominant
2)appendicitis
3)propylthiouracil she is having a thyroid storm
4)sonography show an ovarian mass, so its probably a sertoli -leydig cell tumor
secreting testosterone, DHEA-s is secreted from the adrenal
appreciate it bro
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Old 04-21-2016
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Quote:
Originally Posted by ballers View Post

8) 15 y/o gal, 1 wk ab pain, last yr had 10 moments of cramps, lasting 4 days roughly, never had menstrual period, has sex with one dude without contraception, 80 percentile height weight, 100 temperature, pulse 120, BP 90/50, ab shows moderate tenderness, mass palpated in suprapubic area in midline, cant see vervix cuz a bluish bulging vaginal tissue obscures upper vagina, urinary pregnancy test is NOT positive, diagnosis?

Why is answer hematocolpos?
This is old, but I figured I'd answer anyway for other people. From the history that this girl presents with - normal size, normal secondary sex trait characteristics, regular crampy/menstrual pain occurrence, but no history of menstruation - this suggests this girl has an imperforate hymen. Based on physical exam, she appears to have hematocolpos, aka blood filled vagina associated with imperforate hymen.
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