coll.'s Obstetrics and Gynecology PDF

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Pallor, tachycardia, and leukocytosis usually occur, and the uterus is soft, large, and tender. Lochia may be decreased or profuse and malodorous. When parametria are affected, pain and pyrexia are severe; the large, tender uterus is indurated at the base of the broad ligaments, extending to the pelvic walls or posterior cul-de-sac. Pelvic abscess may present as a palpable mass separate from and adjacent to the uterus. A 31 year old woman has a dilation and curettage done (D&C). Some months later she comes back complaining that she has amenorrhea but pain monthly around the time she usually has her periods.

The longer a woman is exposed to estrogen, the greater her risk for breast cancer. Estrogen exposure is increased if a woman began menstruating at or before 11 years of age, or if she experiences menopause at age 55 years or older. Nulliparity: women who have never given birth are more likely to develop breast cancer after menopause than women who have given birth multiple times. Hormone replacement therapy (HRT): Studies have shown that long-term use of combined estrogen-progestin (approximately five years) in women ages 50 to 79 increases a woman's risk of breast cancer.

B. ICSI is used for oligospermic and even some azospermic males to achieve fertilization. C. Again, ovulation induction alone will not be successful if the tubes are blocked bilaterally. E. This technique can only be used if there is tubal patency. The egg and sperm mixture is placed in the distal fallopian tube via laparoscopy. The tubes here are blocked. A woman who delivers after a prolonged labor presents to you after 2 days. All of the following suggest endometritis, except a) Tender uterus b) Foul smelling c) Uterus 9 cm below umbilicus d) Pyrexia The correct answer is C Explanation Puerperal endometritis is uterine infection, typically caused by bacteria ascending from the lower genital or GI tract.

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