Case # 3. Clinical History: A 25 year-old woman had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm³ with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. 1. What is the MOST LIKELY diagnosis AND the likely causative agent? 2. What is a likely complication of this disease? A. PID B. Infertility C. Tubo-ovarian abscess D. ALL of the above 3. Which of the following statement about this disease is FALSE? A. It is usually associated with endometriosis B. May be complicated by strictures and infertility C. May also involve the adjacent ovary D. May result in a hydrosalpinx E. May be complicated by septicemia F. ALL of the above statements are false regarding this disease. G. NONE of the above statements are false regarding this disease.
Case # 3. Clinical History: A 25 year-old woman had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm³ with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. 1. What is the MOST LIKELY diagnosis AND the likely causative agent? 2. What is a likely complication of this disease? A. PID B. Infertility C. Tubo-ovarian abscess D. ALL of the above 3. Which of the following statement about this disease is FALSE? A. It is usually associated with endometriosis B. May be complicated by strictures and infertility C. May also involve the adjacent ovary D. May result in a hydrosalpinx E. May be complicated by septicemia F. ALL of the above statements are false regarding this disease. G. NONE of the above statements are false regarding this disease.
Chapter13: Cpt Surgery Iii
Section: Chapter Questions
Problem 8MC
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Transcribed Image Text:Case # 3.
Clinical History: A 25 year-old woman had pelvic pain, fever, and vaginal discharge
for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness
and a painful, swollen left knee.
Laboratory studies show WBC count of 11,875/mm³ with 68% segmented neutrophils,
8% bands, 18% lymphocytes, and 6% monocytes.
1. What is the MOST LIKELY diagnosis AND the likely causative agent?
2. What is a likely complication of this disease?
A. PID
B. Infertility
C. Tubo-ovarian abscess
D. ALL of the above
3. Which of the following statement about this disease is FALSE?
A. It is usually associated with endometriosis
B. May be complicated by strictures and infertility
C. May also involve the adjacent ovary
D. May result in a hydrosalpinx
E. May be complicated by septicemia
F. ALL of the above statements are false regarding this disease.
G. NONE of the above statements are false regarding this disease.
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