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8092 Gynaecology & Obstetrics

A 20 year old primigravida is admitted with full term pregnancy and labour pain. At 4 am she goes into active phase of labour with 4 cm cervical dilatation. Membranes rupture during p/V examinatin showing clear liquor. A repeat PN examination after 4 hours of good uterine contraction reveals a cervical dilatation of 5 cm. What should be the next step in management :

AReassess after 4 hours
BImmediate cesarean section
COxytocin drip
DReassess for occipito posterior position and cephalopelvic dispropoion
Gynaecology & Obstetrics
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8099 Medicine

A 65-year-old man, with a 45-pack-per-year history of smoking, presents with hematuria and flank pain. He reports no fever, chills, or dysuria, but he has lost 15 lb. On examination the abdomen is soft, no mass is felt, and there is no flank tenderness on percussion. His hemoglobin (Hb) is 18.5 g/dL, and his liver enzymes are normal. A CT scan of the abdomen reveals a mass in the left kidney with involvement of the renal vein. Which of the following is the most likely diagnosis?

Arenal cyst
Brenal cell carcinoma
Crenal metastases
Drenal abscess
Medicine
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