31 a 16 year old female complains of sudden left

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31. A 16-year-old female complains of sudden left-sided lower quadrant abdominal pain. Last menstrual period was 2 weeks ago. On physical examination, the abdomen is non-tender with no masses and no organomegaly. Bowel sounds are normal in 4 quadrants. Pelvic examination is within normal limits. Abdominal CT scan is negative. Pregnancy test is negative. These signs and symptoms are consistent with: A. Ovarian cancer B. Hydatidiform mole C. Endometriosis D. Follicular cyst
____ 32. A 19-year-old female complains of sudden severe left-sided lower quadrant abdominal pain as well as nausea and vomiting for the last 2 weeks. Last menstrual period was 2 months ago. On physical examination, there is left sided lower quadrant abdominal tenderness and heel strike is positive. Pelvic examination reveals bluish discoloration of the cervix and left-sided adnexal tenderness. These signs and symptoms are consistent with:
____ 33. Your 61-year-old female patient complains of dyspareunia. On pelvic examination, you note atrophic vaginitis. The clinician should explain that these are most likely:
____ 34. A 34-year-old female patient complains of lack of conception after unprotected sexual intercourse for 1 year. The patient has been keeping track of basal body temperature to plot ovulation. Pelvic examination is normal. The clinician should ask the patient if which of the following laboratory test(s) have been done: Answer Section MULTIPLE CHOICE C C A D D

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