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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана

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A.Bicornuate B.Didelphys C.Septate D.Arcuate E.DESdrugrelated
2b.Whatisthesignificanceofdistinguishingaseptateuterusfromotheruterineanomalies?
A. Septate uterus is associated with congenital renal anomalies thatshouldbe diagnosed with
additionalimaging. B.Itisconsideredanormalanatomicvariantthatshouldhavenoeffectonfertility. C.Surgicalcorrectioncanpotentiallyimprovereproductiveoutcomes.
D.Patientsareatincreasedriskforvaginalclearcellcarcinomaandshouldbescreened.
3.A23-year-oldfemaleoutpatientpresentswith obesity,anovulation,and hirsutism.Thepatienthada
negativepregnancytest.Whatdoesthepatientmostlikelyhave?
A.Ovariantorsion B.Hyperstimulatedovaries C.Polycysticovarysyndrome D.Endometriosis
4.A26-year-oldfemalepresentstotheemergencydepartmentaftersuddenonsetofrightlowerquadrant
pain,nausea,andvomiting.Laboratory valuesare as follows: WBC 8,500, beta-hCG negative. Images shownarefromtransvaginalultrasound.Whichofthefollowingisthemostlikelydiagnosis?
A.Oophoritis B.Ovarianhyperstimulation C.Polycysticovariansyndrome D.Ovariantorsion
5.A65-year-oldfemaleoutpatientpresentswithpostmenopausalbleedingandthefollowingimageson
transvaginal ultrasound. Which of the following is the most appropriate next step for this patient’s management?
A.Follow-upultrasoundin3monthstoassessforresolution. B.Sendthepatientforhysteroscopyandtissuesampling. C.Sendhertointerventionalradiologyforembolizationasthisisasubmucosalleiomyoma. D.SendthepatientforpelvicMRIforbettercharacterizationoftheabnormality.
6. A 48-year-oldwomanpresentswithabnormallyheavy menstrualbleeding,dyspareunia, anduterine
enlargement on physical exam. Her gynecologist requests a pelvic ultrasound. The first image is transabdominal,andthesecondimageisatransvaginalimage.Whatisthemostlikelydiagnosis?
A.Lipoleiomyoma B.Adenomyosis C.Intramuralleiomyoma D.Endometrialpolyp
7.A28-year-oldwomanunderwentCTofthepelvisbecauseofminortrauma.Bilateralovarianmasses
werenoted ontheCT,and apelvicultrasoundwasrecommended.Images shownarefrom transvaginal ultrasound.Themostlikelydiagnosisis: