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w******n
发帖数: 88 | 1 22. A 28-year-old African-American woman comes to the office because of
low back pain and decreased urine output. She is a semiprofessional
basketball player and she is married. She had one pregnancy 12 years ago
that was uncomplicated and resulted in vaginal delivery of a term female
neonate. Medications include oral contraceptive pills and a corticosteroid
inhaler for asthma. She is 182 cm (6 ft) tall and weighs 88 kg (195 lb).
Physical examination is normal except for a palpable lower abdominal mass
that extends to the umbilicus. Speculum examination discloses a 3-cm
ulcerative lesion circumferentially around the external cervical os.
Bimanual examination shows a firm, nodular, central pelvic mass filling
the pelvis and extending cephalad to the umbilicus. Rectovaginal
examination confirms these findings. Stool is negative for occult blood.
Which of the following is the most appropriate recommendation?
A) Arrange for laparoscopy
B) Do a cervical biopsy
C) Do an endometrial biopsy
D) Increase Pap smear screening to every 3 months
E) Obtain pelvic ultrasonography
What is the most likely diagnosis?What is the answer:b or e?Thanks! | h****6
发帖数: 41 | 2 I chose B. I feel it's cervical cancer infiltrates the bladder and obstructs
the ureters, therefore causing renal failure.
Please correct me if wrong. | g******e
发帖数: 389 | 3 yes, should be B. result was verified by our group discussion. |
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