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1.A 57 year old woman,gravida 6,para 6 comes to the physician because of 6 months history of immediate loss of urine when she coughs or exercises. Her children were born by vaginal delivery.Her last menstrual period was 10 years ago and she never received estrogen therapy. Pelvic examination shows a normal size uterus and ovaries. There is downward mobility of the urethral vesical junction with valsalva maneuver. Which of the following the most likely diagnosis?
a.cystocele
b. detrusor instability
c. stress incomtenece
d.urethral prolapse
e.urethrocele
f. uterovaginal prolapse (wrong)

2. A 25 year old woman come to the physician because of a 4 week history of right side pelvic pain. She has been sexually active with one partner for 3 years, they used condoms for contraception. Her last menstrual period was 3 weeks ago. She is afebrile. Pelvic examination shows a 12 cm, cystic, mobile, right adnexal mass. Her serum CA125 concentration is 35 U/ml ( N

1.guess its A cystocele.downward mobility of urethro vesicle junction

A 25 year old woman come to the physician because of a 4 week history of right sided pelvic pain.She has been sexually active with one partner for 3 years;they use condoms for contraception . Her last menstrual period was 3 weeks ago. She is afebrile.Pelvic examination shows a 12cm cystic,mobile right adnexal mass Her serum CA 125 concentration is 35 U/ml (N

(N is less than 35).Serum BhCG testing is negative.An x-rays of the abdomen shows calcium deposits in the mass.Which of the following is the most likely diagnosis?
a. cystic teratoma
b.ectopic pregnancy
c.fallopian tube carcinoma
d.follicular cyst
e. leiomyomata uteri
f. ovarian carinoma