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15248 Surgery

During the course of an operation on an unstable, critically ill patient, the left ureter is lacerated through 50% of its circumference. If the patient’s condition is felt to be too serious to allow time for definitive repair, alternative methods of management include

ALigation of the injured ureter and ipsilateral nephrostomy
BIpsilateral nephrectomy
CPlacement of a catheter from the distal ureter through an abdominal wall stab wound
DPlacement of a suction drain adjacent to the injury without further manipulation that might convert the partial laceration into a complete disruption
Surgery
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15250 Surgery

An 18-year-old sexually active college student presents with complaints of lower abdominal pain and irregular bleeding for five days. She has no fever. She uses oral contraceptives as method of bih control. Upon examination, the cervix is friable, there is cervical motion tenderness and adnexal tenderness. The pregnancy test is negative. She tells you that she had a similar episode two years ago. What is her risk of infeility following this second clinical episode of pelvic inflammatory disease?

A< 1%
B5%
C10%
D20%
Surgery
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