Image is the Question - ANSWER
Answer to the Previous Question - ANSWER -B
-we don't know which aspect the problem is with ...passenger, pelvis or
... [Show More] power.....she is in stage 1 active phase....and no prolongation or arrest is evident...just do US and wait
-C,d,e not indicated....u don't do x ray...so only option left is b
-The baby is not very big, her cervix is dilated to 6cm which means she is almost in active phase, you should be able to feel the head. This could be a breech, do an U/S
-Unless you can feel a head on sterile vaginal exam, all patients should be scanned for vertex positioning before allowing them to continue laboring
Image is the Question - ANSWER
Answer to the Previous Question - ANSWER -A
-cervical stenosis. secondary dysmenorrhea or amenorrhea after cervical procedures strongly suggests cervical stenosis has developed
Image is the Question - ANSWER
Answer to the Previous Question - ANSWER -D
-D - cone biopsy (diagnostic excisional procedure)
-- this pt's entire SCJ cannot be visualized meaning inadequate colposcopy result
-- In such case, diagnostic excisional procedure (LEEP or conization) shud be done
-- Then cotest --> then colposcopy if abn cotest
Xif the question gives pt with adequate colposcopy, you can choose ablation or excision (LEEP, conization, cryo or laser) and even if so, excisional procedures like LEEP are preferred
Image is the Question - ANSWER
Answer to the Previous Question - ANSWER -H
-Wt and ht is normal. Amenorrhea is less than 6 mths
-Yes, H confirmed online. In those UWorld questions, the patients were older, previously had regular menses, and trained a lot (gymnastics champion, collegiate athlete). This girl had menarche only one year ago, has had irregular cycles since menarche, and does not do significant exercise. In the first few years after menarche, the hypothalamic-pituitary-ovarian axis is not well developed, so cycles are irregular, but it's normal development.
Image is the Question - ANSWER
Answer to the Previous Question - ANSWER -D
-he has moderate lower abdominal pain (still menstruating just blood is blocked so can't flow out), vaginal canal can't be visualized (hymen is blocking it), and rectal examination shows an anterior tender, central mass which all indicate imperforate hymen
-AIS (46 X,Y). MRKH syndrome (complete mullerian agenesis, 46 X,X). AIS (testes present, defective T receptor) and MRKH syndrome both have normal breast development, either absent/rudimentary uterus and upper vagina. Pubic/axillary hair is absent in AIS, but present in MRKH syndrome.
Image is the Question - ANSWER
Answer to the Previous Question - ANSWER -D
-Bartholin cysts are painLESS inflammation of the DUCT.
-Bartholin abscesses are painFUL infections of the GLAND.
-Bartholinitis (cellulitis) is a painful complication of Bartholin cysts, and more commonly, Bartholin abscesses. [Show Less]