41 years old pregnant GA 36 Week presented with abdominal pain no bleeding on

41 years old pregnant ga 36 week presented with

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41 years old pregnant GA 36 Week presented with abdominal pain no bleeding, on examination there is tender and tense uterus, there is no hx of trauma within 48 hours, didn't mention CTG or hx of fibroid A. Red degeneration B. Placenta abruption C. Other excluded by me Answer is: A fibroid in old age which increased with endometrial thickness A. leiomyosarcoma Answer is: A 32 years old with menorrhagia she not complaining of pain or anything else Her BMI is 41 No hx of ovarian or endometrial ca what is the most appropriate next step A. Hysterectomy B. MRI pelvis C. Embolization D. Endometrial biopsy Answer is: D
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Glory Group 17th December Incredible work, incredible people! Keep it up! ______________________________________________________________________ Commonly Mistaken Question Old man k/c of DM, HTN, and chronic claudication. Now came with a 4-hour history of lower limb pain, palpable femoral pulse but absent pulse of popliteal and below the left leg. Associated with delay in distal pulse (dorsalis) of right leg. How would you manage? A. Catheter thrombolysis B. Femoral thrombectomy C. Heparinization and observation Answer is: C, since it is mild only diminished pulse by palpating it. Acute limb ischemia > give heparin even before imaging In general if u didn’t feel the pulse go for arterial Doppler as initial fast non invasive procedure to confirm absent pulse Venous duplex is the best initial for any venous disease (DVT, varicose, venous ulcer + lymphedema) CTA > the best for arterial insufficiency and acute limb ischemia. Ethics & Biostatistics Child abuse, what’s next step? A. Observe, Gathering information, referral, follow up B. Observe, referral, Gathering information,, follow up C. Observe, document, report, follow up . D. Observe, document, report, self care Answer is: C
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