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nbme form3 q28 - certi
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02-09-2006, 07:38 AM
A 25-year-old woman has had painless vaginal postcoital bleeding for 2 hours. Her last menstrual period was 10 weeks ago. A pregnancy test is positive. There is a small amount of dark blood in the vaginal canal. She has a reddened, friable cervical os.
02-09-2006, 07:39 AM
what is the diagnosis?
A ) Abortion of a blighted twin B ) Cervicitis C ) Ectopic pregnancy D ) Focal decidual necrosis E ) Gestational trophoblastic disease F ) Incomplete abortion G ) Ovarian torsion H ) Ruptured ovarian cyst I ) Threatened abortion
02-09-2006, 12:26 PM
I'd say B. cervicitis. Painless first trimester bleeding, post coidal bleeding, I think it is B.
02-09-2006, 12:29 PM
http://www.askbaby.com/topic/pregnancy-bleeding.htm
I would say infection is far more common than Gestational trophoblastic disease ? Yeast infection during pregnancy is not uncommon?
02-09-2006, 12:35 PM
F and I appear equally possible, but ususally painful.
Fadd's information and argument are very persuasive and I will go with B.
02-09-2006, 05:41 PM
Post coidal bleeding---strongly suggest cervicitis. Plus, it is painless, so we can exclude most of the choices. Pick the most common one as our choice is safer.
02-10-2006, 01:56 AM
I would go with B. Friable cervix is typical for cervicitis
Abortion normally with crampy and bleeding. |
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