With Complete Solutions
A 23-year-old patient presenting for an outpatient gynecological
sonogram has had amenorrhea for 8 years. She complains of
chest pain and coughing up blood. She has been living in
Liverpool, England for the last 3 years and has a Native
American boyfriend. She smokes three packs of cigarettes a day
and has foul-smelling vaginal discharge. She is a heavy
marijuana user and drinks a 6-pack of beer a day. Which of the
following would you note in this patient's record? Correct
Answers The history of amenorrhea
A 6-day-old infant presents for a pelvic sonogram. The parents
are distraught because they have been told the baby has
ambiguous genitalia. The sonogram is ordered to:
a. define internal anatomy
b. confirm hermaphroditism
c. confirm labioscrotal fusion
d. confirm micropenis
e. confirm clitoral hypertrophy Correct Answers Define internal
anatomy
A 7-year-old girl presents for a pelvic sonogram. She has
developed breasts and pubic and axillary hair. Which of the
following BEST describes her condition?
a. Adult sexual characteristics
b. Precocious puberty
c. Pseudoprecocious puberty
d. Onset of normal puberty Correct Answers Precocious puberty
, A cesarean section was performed on a 29-year-old postdates
patient. After the procedure, the patient developed a low-grade
fever and leukocytosis. The differential diagnosis includes all of
the following EXCEPT:
a. a hematoma
b. an infected hematoma
c. jaundice
d. an abscess
e. a wound infection Correct Answers Jaundice
A third trimester sonogram revealing polyhydramnios and
macrosomia should raise the question of: Correct Answers
Maternal diabetes
All of the following are characteristics of agenesis of the corpus
callosum EXCEPT:
a. colpocephaly
b. vertically aligned gyri
c. a high-riding third ventricle
d. a third ventricle cyst
e. cerebellar hyperplasia Correct Answers Cerebellar
hyperplasia
All of the following conditions cause fixation of the pelvic
structures so that they do not move when examined with the
vaginal probe EXCEPT:
a. metastases
b. pelvic inflammatory disease
c. endometriosis
d. pelvic surgery
e. dermoids Correct Answers Dermoids