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16525 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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16531 Medicine

A 67-year-old man has a long history of symmetrical small joint arthritis with deformities. He now develops shortness of breath on exertion with a dry cough, but no sputum or chest discomfort. His heart sounds have a loud P2, and the lungs have fine bibasilar crackles. Which of the following is the most likely diagnosis of the pulmonary condition associated with his arthritis?

Apleuritis
Bcavitating lesions
Cintrapulmonary nodules
Dinterstitial fibrosis
Medicine
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