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50486 Gynaecology & Obstetrics

A healthy 31-year-old G3P2002 patient presents to the obstetrician’s office at 34 weeks gestational age for a routine return visit. She has had an uneventful pregnancy to date. Her baseline blood pressures were 100-110/ 60-70, and she has gained a total of 20 lb so far. During the visit, the patient complains of bilateral pedal edema that sometimes causes her feet to ache at the end of the day. Her urine dip indicates trace protein, and her blood pressure in the office is currently 115/75. She denies any other symptoms or complaints. On physical exam, there is pitting edema of both legs without any calf tenderness. How should the obstetrician respond to the patient’s concern?

APrescribe Lasix to relieve the painful swelling
BImmediately send the patient to the radiology department to have venous Doppler studies done to rule out deep vein thromboses
CAdmit the patient to L and D to rule out preeclampsia
DReassure the patient that this is a normal finding of pregnancy, and no treatment is needed
Gynaecology & Obstetrics
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50490 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. Which is the most likely etiologic agent responsible for these findings?

ANeisseria gonorrhoeae
BChlamydia trachomatis
CTreponema pallidum
DHerpes simplex virus type 2
Surgery
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