A 65-year-old woman is noted to have suspected uterine fibroids on physical examination. Over the course of 1 year, she is noted to have enlargement of her uterus from approximately 12 weeks’ size to 20 weeks’ size. Which of the following is the best management? ()
A: Continued careful observation
B: Monitoring with ultrasound examinations
C: Exploratory laparotomy with hysterectomy
D: Gonadotropin-releasing hormone agonist
E: Progestin therapy
A: Continued careful observation
B: Monitoring with ultrasound examinations
C: Exploratory laparotomy with hysterectomy
D: Gonadotropin-releasing hormone agonist
E: Progestin therapy
举一反三
- A 28-year-old woman is undergoing an annual physical examination. An enlarged uterus was found on bimanual examination. No adnexal mass are noted and HCG (-). Rectovaginal examination is unremarkable. Which of the following conditions is the most likely cause of the enlaged uterus.? ( ) A: Pregnancy. B: Leiomyoma. C: Adenomyosis. D: Endometriosis. E: Carcinoma.
- A 75-year-old man is noted to have chest pain with exertion and has been passingout recently. On examination he is noted to have a harsh systolic murmur.Which of the following is the best therapy for his condition? A: Coronary artery bypass B: Angioplasty C: Valve replacement D: Carotid endarterectomy
- A 16-year-old woman is visiting her gynecologist for her first checkup. On ultrasound examination it is noted that the woman has a double uterus. Failure of which of the following processes is responsible for the double uterus? A: Fusion of the inferior parts of the paramesonephric ducts B: Fusion of the superior parts of the mesonephric ducts C: Development of the hymen D: Development of the sinovaginal bulbs E: Fusion of the inferior parts of the mesonephric ducts
- A 45-year-old woman has noted a lump on her left shoulder that has enlarged over the past 4 months. On physical examination there is a palpable non-tender supraclavicular lymph node. A biopsy of the node is performed and on microscopic examination there is a metastatic neoplasm. Which of the following is the most likely primary for this neoplasm?
- The best age to crop the ears of a Boxer is () A: 7 to 8 weeks old B: 9<br/>to 10 weeks old C: 11 to 12 weeks old D: 13 to 14 weeks old