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170216 Gynaecology & Obstetrics

A 24 year old underweight woman presents to you with progressive abdominal discomfo, dyspnoea, nausea and vomiting. Abdominal examination revealed cystic enlargement of ovaries. Relevant investigations results are as follows: Hematocrit – 57% Total count – 25000 /mm3 RFT -Impaired LFT – Mildly impaired USG – Massive ascites Serum peak oestradiol- 9000 pg/ ml X ray chest – shows pulmonary oedema History revealed that she had polycystic ovarian disease (PCOD) and was on treatment for infeility. She had received an injection last week from her infeility specialist. What is your diagnosis?

ABudd Chiari syndrome
BMeigs syndrome
COvarian hyperstimulation syndrome
DPseudomyxoma peritonei
Gynaecology & Obstetrics
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170217 Pathology

A 2-year-old boy is brought to the physician by his parents, who complain that their son continually loses his balance. They also report that his speech seems more slurred. Physical examination confirms the truncal ataxia and wide-based gait. The child appears lethargic, and there is bobbing of the head while he is sitting. Muscle tone is normal. A lumbar puncture is performed in the patient, and neoplastic cells are found. A suboccipital craniotomy is performed, and a tumor is resected. Microscopic examination of the surgical specimen would most likely reveal which of the following histologic patterns?

AMalignant epithelial cells with prominent tonofilaments
BPerivascular collections of neoplastic lymphocytes
CSmall, hyperchromatic cells and rare neuroblastic rosettes
DVacuolated tumor cells and an abundant capillary network
Pathology
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