DrVirgo
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A 17 year old girl comes to the physician because of severe abdominal pain and irregular menstrual bleeding for 2 days. Menarche occured at the age of 14 years. Her last regular menstrual period was 4 weeks ago. She is sexually active and uses depot medroxyprogesterone for contraception. She was treated for gonorrhea last year, and she had an elective abortion 4 months ago. Abdominal examination shows tenderness, decreased bowel sounds, and guarding. A diagnosis of ectopic pregnancy is considered. Which of the following is the stongest predisposing risk factor for this conditon?
A. Adolescent age
B. Congenital anomaly of the uterus
C. History of abortion
D. History of gonorrhea
E. Use of depot medroxyprogesterone
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| Ms.Apara
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C
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| sridevibandaru24
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History of abortion
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| DrVirgo
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OK.
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| study_ing
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y not D
y wud an elective abortion increase chances
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| Ms.Apara
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ya it could be D --> if the tubal blockage occured due to infection was on the opposite side and the normal pregnancy from the better side.
Wat is the right ans Dr.Virgo???
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| Cedrick
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tubal blockage scar tissue
correct answer since STDS increase the chance of ectopic conceptus
pelvic inflamatory disease
D 
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| robin082006
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I go with D too
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| chemamr
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i think it's D.
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| DrVirgo
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yes, I think D more common than C.
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| armaan0101
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hey guys,
any idea where I could upload NBME from. Can anyone help or upload the file
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