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* NBME 13,block 1
 #669318  
  samideb12 - 04/05/12 00:03
 
  A 55 years old is scheduled to undergo transvaginal hysterectomy and oopherectomy for dysfunctional uterine bleeding.During the procedure ,the uterus must be separated from all surrounding pelvic structures.Identification and incision of which of the following structures that attaches to the cervical region and extends posteriorly is most appropriate in this pt?
A.Mesometrium
B.Mesosalpinx
C.Mesovarium
D.Ovarian ligament
E.Round ligament of the uterus
G.Uterosacral ligament
 
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* Re:NBME 13,block 1
#2635176
  metaphesis - 04/05/12 05:54
 
  G.Uterosacral ligament

pass sup. and slightly posteriorly from the sides of cervix to the middle of the sacrum,they are palpable during rectal exam.

source:clinically oriented anatomy by moore...

75% sure unless there is another ligament that is a target for incision during this procedure,share almost same anatomy?
 
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* Re:NBME 13,block 1
#2635252
  sooohia - 04/05/12 10:25
 
  I GOT THIS WRONG
when i searched it the ans was
GG
http://www.miklosandmoore.com/lap_proc8.php
 
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* Re:NBME 13,block 1
#2635262
  samideb12 - 04/05/12 10:41
 
  Thank you Sooohia for the nice document.I saw it and it is convincing!  
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* Re:NBME 13,block 1
#2635597
  cardioman - 04/05/12 16:55
 
  it is uterosacral
i got it right
 
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* Re:NBME 13,block 1
#2647682
  samiaj31 - 04/21/12 19:17
 
  Maryam or anyone plz : From NBME 13:

Annual incidence of a disease is 15/100,000 population & case fatality rate is 40%. Based on the data which of the following represents annual mortality rate per 100,000 people?

a. 0.4 x 15
b. 0.4 x 100000
c. 0.6 x 14
d. 0.6x 100000

How to calculate ? is it ..case fatality rate = death from cause/ no of person with disease
or 40% = Death from coz/ 15
so annual mortality = 0.4 x 15 ?
I gave option d in test n got it wrong . will it be the option A?

Thanks .
hope to hear from u guys.
 
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* Re:NBME 13,block 1, urgent
#2647694
  samiaj31 - 04/21/12 19:33
 
  @ maryam or anyone plz......
A study is conducted to assess the effectiveness of Vitamin C in preventing common colds in children. Patients are randomly assigned to receive either vitamin c or no intervention. Oputcome events (common old) are reported tby the parents on a monthly basis for 1 year. Results show that those taking vitamin C have fewer colds compared with those who received no intervention (p < 0.05).
which of the following raise concern about the validity of the conclusion that vit c supplement prevent c.cold ?
a. inadequate statistical power
b. nonrandomazation
c. selection bias (wrong)
d. variability in outcome assessmnet

I think d is the ans . Anyone did it correct ?
Thanks .

 
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