kaplan Q 2

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kaplan Q 2

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10 Posts

drduck
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Topics: 82
Posts: 523

01/08/08 - 08:40 AM

An 85 yr old woman comes to the physician because of pelvic pressure and feeling of something coming out of her vagina.
She has a h/o coronary artery disease and is status post a 3 vessel coronary artery bypass graft 10 yrs ago. She has a cerebrovascular accident 2 yrs ago that left her with decreased right sided sensory and motor function. She takes multiple cardiac medications. Examination shows morbid obesity.
Her uterus is noted to have mild to moderate prolapse. Which of the following is most appropriate next step in management?

A) Oral contraceptive pills

B) Hormone replacement therapy

C) Trial of pessary

D) Vaginal hysterectomy

E) Abdominal hysterectomy

multifactorial
Forum Guru

Topics: 29
Posts: 556

01/08/08 - 09:51 AM

i think at this age and so many comorbids,only symptomatic relief must be sought.pessary is the right answer in my opinion.

neuroblastoma
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01/08/08 - 05:00 PM

Ivonne
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01/08/08 - 06:41 PM

C

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jasmin
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01/08/08 - 07:23 PM

maoudoody
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01/08/08 - 08:24 PM

trial of pessary

nany
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01/09/08 - 02:31 PM

C

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dr_gladiator
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Topics: 1
Posts: 56

01/10/08 - 08:20 PM

yes c.. patient is too old with many comorbid conditions so not suitable patient for surgery

kpmle2
Forum Guru

Topics: 68
Posts: 417

01/11/08 - 11:11 PM

C) Trial of pessary

drduck
Forum Guru

Topics: 82
Posts: 523

01/12/08 - 12:55 AM

#10

oh.........great....it was only me....who got this wrong...
good job all of you.

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