F) inflammation of the appendages on the right side
18. Оne of the risk factors that progresses the incidence of pelvic inflammatory disease in women is:
A) colposcopy
B) intrauterine manipulation
C) echographic examination
D) introduction of biomaterial for oncocytological examination
E) taking of vaginal discharge for bacteriological examination
19. Тhe most likely cause of "acute abdomen" in gynecology ?
A) torsion of the ovarian cyst leg
B) submucous uterine fibroids
C) endometriosis of the cervix
D) endocervicitis
E) endometritis
20. 38-year-old Woman with complaints of weakness, pulling pains in the lower abdomen, heavy spotting from the genital tract. For 2 years, menstruation is prolonged for 7-10 days, painful. The last menstrual period started 10 days ago. On an OMT ultrasound, the endometrial thickness is -1.5 cm. On mirrors: the mucous membrane of the cervix and vagina is clean, the discharge is abundant, bloody. Bimanual examination: the cervix is cylindrical. The uterus is enlarged to 10-11 weeks of pregnancy, dense, lumpy, painless. Appendages on both sides are not palpable. The vaults are deep.
In the UAC: HB-84 g / l, white blood Cells– 7,8 *109/l, ESR -15 mm / hour. Your preliminary diagnosis and tactics at this level?
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