{\rtf1\adeflang1025\ansi\ansicpg1251\uc1\adeff0\deff0\stshfdbch31505\stshfloch31506\stshfhich31506\stshfbi0\deflang1049\deflangfe1049\themelang1049\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f1\fbidi \fswiss\fcharset204\fprq2{\*\panose 020b0604020202020204}Arial;}
{\f34\fbidi \froman\fcharset204\fprq2{\*\panose 02040503050406030204}Cambria Math;}{\f37\fbidi \fswiss\fcharset204\fprq2{\*\panose 020f0502020204030204}Calibri;}
{\f39\fbidi \fswiss\fcharset0\fprq2{\*\panose 00000000000000000000}MS Sans Serif{\*\falt Arial};}{\f40\fbidi \fswiss\fcharset204\fprq2{\*\panose 020b0604020202020204}Arial CYR;}
{\f41\fbidi \fnil\fcharset204\fprq0{\*\panose 00000000000000000000}TimesTenCyr-Upright;}{\f42\fbidi \fnil\fcharset204\fprq0{\*\panose 00000000000000000000}TimesTenCyr-Bold;}
{\flomajor\f31500\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fdbmajor\f31501\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fhimajor\f31502\fbidi \froman\fcharset204\fprq2{\*\panose 02040503050406030204}Cambria;}{\fbimajor\f31503\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\flominor\f31504\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fdbminor\f31505\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fhiminor\f31506\fbidi \fswiss\fcharset204\fprq2{\*\panose 020f0502020204030204}Calibri;}{\fbiminor\f31507\fbidi \froman\fcharset204\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f222\fbidi \froman\fcharset0\fprq2 Times New Roman;}
{\f220\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\f223\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\f224\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\f225\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\f226\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f227\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\f228\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f232\fbidi \fswiss\fcharset0\fprq2 Arial;}
{\f230\fbidi \fswiss\fcharset238\fprq2 Arial CE;}{\f233\fbidi \fswiss\fcharset161\fprq2 Arial Greek;}{\f234\fbidi \fswiss\fcharset162\fprq2 Arial Tur;}{\f235\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}
{\f236\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}{\f237\fbidi \fswiss\fcharset186\fprq2 Arial Baltic;}{\f238\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese);}{\f562\fbidi \froman\fcharset0\fprq2 Cambria Math;}
{\f560\fbidi \froman\fcharset238\fprq2 Cambria Math CE;}{\f563\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f564\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f567\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}
{\f568\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese);}{\f592\fbidi \fswiss\fcharset0\fprq2 Calibri;}{\f590\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\f593\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}
{\f594\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}{\f595\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}{\f596\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\f597\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}
{\f598\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\f622\fbidi \fswiss\fcharset0\fprq2 Arial CYR;}{\f620\fbidi \fswiss\fcharset238\fprq2 Arial CYR CE;}{\f623\fbidi \fswiss\fcharset161\fprq2 Arial CYR Greek;}
{\f624\fbidi \fswiss\fcharset162\fprq2 Arial CYR Tur;}{\f625\fbidi \fswiss\fcharset177\fprq2 Arial CYR (Hebrew);}{\f626\fbidi \fswiss\fcharset178\fprq2 Arial CYR (Arabic);}{\f627\fbidi \fswiss\fcharset186\fprq2 Arial CYR Baltic;}
{\f628\fbidi \fswiss\fcharset163\fprq2 Arial CYR (Vietnamese);}{\flomajor\f31510\fbidi \froman\fcharset0\fprq2 Times New Roman;}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbmajor\f31520\fbidi \froman\fcharset0\fprq2 Times New Roman;}{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhimajor\f31530\fbidi \froman\fcharset0\fprq2 Cambria;}
{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31540\fbidi \froman\fcharset0\fprq2 Times New Roman;}
{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\flominor\f31550\fbidi \froman\fcharset0\fprq2 Times New Roman;}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbminor\f31560\fbidi \froman\fcharset0\fprq2 Times New Roman;}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31570\fbidi \fswiss\fcharset0\fprq2 Calibri;}
{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31580\fbidi \froman\fcharset0\fprq2 Times New Roman;}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}
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{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\tqc\tx4538\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\fs20\lang1049\langfe1049\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\cgrid0\insrsid6250521 \loch\af39\dbch\af31505\hich\f39 \u1050\'3f\u1088\'3f\u1086\'3f\u1082\'3f
\hich\af39\dbch\af31505\loch\f39  2 }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521 \hich\af39\dbch\af31505\loch\f39 Medicine
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\cgrid0\insrsid6250521 \tab 
\par }{\rtlch\fcs1 \ab\ai\af40\afs16 \ltrch\fcs0 \b\i\f40\fs16\cf1\cgrid0\insrsid6250521 \hich\af40\dbch\af31505\loch\f40 \hich\f40 4. \'c0\'ea\'f3\'f8\'e5\'f0\'f1\'f2\'e2\'ee\loch\f40 \hich\f40  \'b3\loch\f40 \hich\f40  \'e3\'b3\'ed\'e5\'ea\'ee\'eb\'ee\'e3
\'b3\'ff}{\rtlch\fcs1 \ab\ai\af40\afs21 \ltrch\fcs0 \b\i\f40\fs21\cf1\cgrid0\insrsid6250521 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\cgrid0\insrsid6250521 \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6250521 
\hich\af1\dbch\af31505\loch\f1 1}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\cgrid0\insrsid6250521 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
A 52-year-old woman suffering from obesity, complains of bloody discharges from sexual }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 paths during 4 days. Last normal menses were 2 years ago. Histological investigation of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 biopsy of the endometrium has revealed adenomatous hyperplasia.  What reason from the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 mentioned below caused the development of disease?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Excessive transformati\hich\af1\dbch\af31505\loch\f1 on of preandrogens from adipose tissues  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hypersecretion of estrogens by tissues of the organism.   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Poor aromatization of preandrogens due to hypothyroidism  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 The increased contents of follicle-stimulating hormone    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Supersecretion of androgens b\hich\af1\dbch\af31505\loch\f1 y the cortex of paranephroses.    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 2}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 40-year-old woman complains of colic pains in the  lower part of abdomen and abundant }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 bloody discharges from genital tract. Last 2 years she had menses for 15-16 days, abundant, }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 with clots, painful. Had  2 me\hich\af1\dbch\af31505\loch\f1 dical abortions. In bimanual investigation: from the canal of the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 cervix uteri - a fibromatous  node, 3 cm in diameter, on the thin stem. Discharges are bloody, }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 moderate.Choose the correct tactics.}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Operation: untwisting of born node   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hormonal hem\hich\af1\dbch\af31505\loch\f1 ostasis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Phase by phase vitamin therapy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Supravaginal ablation of the uterus without ovaries}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hysterectomy without ovaries}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 3}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 40-year-old woman complains of yellow color discharges from the vagina.  Bimanual }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 examination: no patholog\hich\af1\dbch\af31505\loch\f1 ical changes. Smear test: Trichomonas vaginalis and mixed flora. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Colposcopy: two hazy fields on the front labium, with a negative  Iodum probing. What is your }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 tactics?}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Treatment of specific colpitis with the subsequent  biopsy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Diathermocoagulation of the cervix uteri}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Specific treatment of Trichomonas colpitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervix ectomy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cryolysis of cervix uteri}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 4}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 32 y.o. woman consulted a gynecologist about having abundant long menses within 3 }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 months. Bimanual inves\hich\af1\dbch\af31505\loch\f1 tigation: the body of the uterus is enlarged according to about 12 }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 weeks of pregnancy, distorted, tuberous, of dense consistence. Appendages are not }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 palpated. Histological test of the uterus body mucosa: adenocystous hyperplasia of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 endometrium. Optim\hich\af1\dbch\af31505\loch\f1 al medical tactics:  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Surgical treatment  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hormonetherapy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Phytotherapy  }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Radial therapy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Phase by phase vitamin therapy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 5}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A woman complains of having slight dark bloody discharges and mild pains in the lower part }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 of abdomen for several days. Last menses were 7 weeks ago. The pregnancy test is positive.}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  Bimanual investigation: the body of the uterus indicates for about 5-6 weeks of pregnancy, it }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 is soft, painless. In the left appendage there is a retort-like fo\hich\af1\dbch\af31505\loch\f1 rmation, 7}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'f5}{
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 5 cm large, mobile, }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 painless. What examination is necessary for detection of fetus localization?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ultrasound  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hysteroscopy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Hromohydrotubation  }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Colposcopy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cystoscopy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 6}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f31506\fs21\cf1\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 By the end of the 1st period of physiological labor clear amniotic fluid came off. Contractions }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 lasted 35-40 sec every 4-5min. Heartbeat of the fetus was 100 bpm. The BP was 140/90 mm }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hg. What is the most probable diagnosis?}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute hypoxia of the fetus}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Premature labor }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Premature detachment of normally posed placenta}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Back occipital presentation  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hydramnion   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid8005027 
\hich\af1\dbch\af31505\loch\f1 7}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 In 13 months after the first labor a 24-year-old woman complains  of amenorrhea. Cesarian }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 section was conducted as a result of premature detachment  of normally posed placenta.  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hemorrhage has made low fidelity of  2000 ml due to breakdown of coagulation of blood. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Choose the most suitable investigation. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Determination of the level of gonadotropin   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ultrasound of organs of a small pelvis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Progesteron test}{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Computer tomography of the head  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Determination of the contents of testosteron-depotum in blood serum.}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid8005027 
\hich\af1\dbch\af31505\loch\f1 8}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 In the woman of 24 years about earlier normal menstrual function, cycles became irregular, }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 according to tests of function diagnostics - anovulatory. The contents of prolactin in blood is }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 boosted. Choose the most suitable investigation:  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Computer tom\hich\af1\dbch\af31505\loch\f1 ography of the head  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Determination of the level of gonadotropins   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
USI of organs of small pelvis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Progesterone assay  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Determination of the contents of testosteron-depotum in blood serum  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid8005027 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid8005027 
\hich\af1\dbch\af31505\loch\f1 9}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 29 year old patient underwent surgical treatment because of the benign serous epithelial }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 tumour of an ovary. The postoperative period has elapsed without complications. What is it }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 necessary to prescribe for the rehabilitational period:  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hormonothe\hich\af1\dbch\af31505\loch\f1 rapy and proteolytic enzymes  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Antibacterial therapy and adaptogens  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Lasertherapy and enzymotherapy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Magnitotherapy and vitamin therapy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 The patient does not require further care  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid8005027 
\hich\af1\dbch\af31505\loch\f1 10}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 26 y.o. woman complains of sudden pains in the bottom of abdomen irradiating to the anus,}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  nausea, giddiness, bloody dark discharges from sexual tracts for one week, the delay of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 menses for 4 weeks. Signs of the peritoneum irritation are positive. Bimanual examination: }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 borders of the uterus body and its appendages are not determined because of sharp }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 painfullness. The diverticulum and painfullness of the back and dextral fornixe\hich\af1\dbch\af31505\loch\f1 s of the vagina }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 are evident. What is the most probable diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Broken tubal pregnancy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Apoplexy of the ovary  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Acute right-side adnexitis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Torsion of the crus of the ovary tumour  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute appendicitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid8005027 
\hich\af1\dbch\af31505\loch\f1 11}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 At the gynaecological department there is a patient of 32 years with the diagnosis: "acute }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 bart}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid8005027 \hich\af1\dbch\af31505\loch\f1 \hich\f1 holinitis".Body temperature is 38,2\'b0\loch\f1 C, leucocytes count  }{
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 10,4*10^9/L$, the ESR is 24 }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 mm/hour. In the area of big gland of the vestibulum - the  dermahemia, t\hich\af1\dbch\af31505\loch\f1 he sign of the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 fluctuation, sharp tenderness (pain). What  is the most correct tactics of the doctor?  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Surgical dissecting, a drainage of an abscess of the gland, antibiotics  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Antibiotics, Sulfanilamidums  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Surgical dissection, drainage of the abscess of the gland  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Antibiotic therapy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6759339 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Antibiotics, detoxication  and biostimulants.   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6759339 
\hich\af1\dbch\af31505\loch\f1 12}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6759339 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 An endometrial adenocarcinoma that has extended to the uterine serosa would be classified }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 as stage:  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6759339 \hich\af1\dbch\af31505\loch\f1 
IIIA}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6759339 \hich\af1\dbch\af31505\loch\f1 
IC}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1      }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6759339 \hich\af1\dbch\af31505\loch\f1 IIA}{\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6759339 \hich\af1\dbch\af31505\loch\f1 
IIB}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6759339 \hich\af1\dbch\af31505\loch\f1 
IVAB}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6759339 
\hich\af1\dbch\af31505\loch\f1 13}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6759339 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Which of the methods of examination is the most informative in the diagnostics of a tube }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 infertility?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Laparoscopy with chromosalpingoscopy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Pertubation  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Hysterosalpingography  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Transvaginal echography  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6759339 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Bicontrast pelviography     }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6759339 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\cgrid0\insrsid13911091 \tab \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\cgrid0\insrsid13911091 \hich\af1\dbch\af31505\loch\f1 14}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f31506\fs21\cf1\cgrid0\insrsid6250521\charrsid13911091 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 26 y.o. woman complains of a mild bloody discharge from the vagina and pain in the lower }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 abdomen. She has had the last menstruation 3,5 months ago. The pulse is 80 bpm. The }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 blood pressure (BP) is 110/60}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6759339 \hich\af1\dbch\af31505\loch\f1 \hich\f1  mm Hg and body temperature is 36,6\'b0\loch\f1 C}{
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 . The abdomen is }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 tender in the lower parts. The uterus is enlarged up to 12 weeks of gestation. What is your }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Inevitable abortion    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Incipient abortion      }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Incomplete abortion    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Complete abortion      }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Disfunctional bleeding    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid13911091 
\hich\af1\dbch\af31505\loch\f1 15}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid13911091 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 18 y.o. woman complains of pain in the lower abdomen. Some minutes before she has }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 suddenly appeared unconscious at home. The patient had no menses within last 3 months\hich\af1\dbch\af31505\loch\f1 . }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 On examination: pale skin, the pulse- 110 bpm, BP- 80/60 mm Hg. The Schyotkin's sign is }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 positive. Hb- 76 g/L. The vaginal examination: the uterus is a little bit enlarged, its }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 displacement is painful. There is also any lateral swelling of indistinct size. The posterior }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 fornix of the vagina is tendern and overhangs inside. What is the most  probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Impaired extrauterine pregnancy    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ovarian apoplexy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Twist of cystoma of right uterine adnexa     }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute salpingoophoritis     }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute appendicitis     }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid13911091 {\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid13911091 
\hich\af1\dbch\af31505\loch\f1 16}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid13911091 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 In the gynecologic office a 28 y.o. woman complains of sterility within three years. The }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 menstrual function is not impaired. There \hich\af1\dbch\af31505\loch\f1 were one artificial abortion and chronic }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 salpingo-oophoritis in her case history. Oral contraceptives were not used. Her husband's }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 analysis of semen is without pathology. What diagnostic method will you start from the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 workup in this case of sterility?     }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hysterosalpingography   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hormone investigation   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Ultra sound investigation   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Diagnostic scraping out of the uterine cavity   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hysteroscopia   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid13911091 
\hich\af1\dbch\af31505\loch\f1 17}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid13911091 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A\hich\af1\dbch\af31505\loch\f1  28-year-old patient underwent endometrectomy as a result of incomplete abortion. Blood }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 loss was at the rate of 900 ml. It was necessary to start hemotransfusion. After transfusion of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 60 ml of erythrocytic mass the patient presented with lumbar pain an\hich\af1\dbch\af31505\loch\f1 d fever which resulted in }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 hemotransfusion stoppage. 20 minutes later the patient's condition got worse: she developed}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  adynamia, apparent skin pallor, acroc}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid13911091 \hich\af1\dbch\af31505\loch\f1 yanosis, profuse perspiration. T}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid13911091 \hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid13911091 \hich\af1\dbch\af31505\loch\f1 \hich\f1 38,5\'b0\loch\f1 C}{
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 , Ps- }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 110/min, AP- 70/40 mm Hg. What is the most likely \hich\af1\dbch\af31505\loch\f1 diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hemotransfusion shock  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hemorrhagic shock   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Septic shock   }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Anaphylactic shock   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 DIC syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid8420819 
\hich\af1\dbch\af31505\loch\f1 18}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid8420819 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 58-year-old female patient came to the antenatal clinic with complaints of bloody light-red }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 discharges from the genital tracts. Menopause is 12 years. Gynaecological examination }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 found externalia and vagina to have age involution; uterine cervix was unchanged, there were }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 scant bloody discharges from uterine cervix, uterus was of normal size; uterine appendages }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 were not palpable; parametria were free. What is the most likely diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uterine carcinoma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Atrophic colpitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Abnormalities of menstrual cycle with climacteric character   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervical carcinoma  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Granulosa cell tumor of ovary  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid8420819 
\hich\af1\dbch\af31505\loch\f1 19}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid8420819 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 The results of a separate diagnostic curettage of the mucous of the uterus' cervix and body }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 made up in connection with bleeding in a postmenopausal period: the scrape of the mucous }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 of the cervical canal revealed no pathology, in endometrium - the highly differentiated }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 adenocarcinoma was found. Metastases are not found. What method of treatmen\hich\af1\dbch\af31505\loch\f1 t is the most}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  correct?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Surgical treatment and hormonotherapy    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Surgical treatment + chemotherapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Surgical treatment and radial therapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Radial therapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 -}{\rtlch\fcs1 
\af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid16322835 
\hich\af1\dbch\af31505\loch\f1 20}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 27 y.o. woman complains of having the disoders of menstrual function for 3 months, }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 irregular pains in abdomen. On bimanual examination: in the dextral appendage range of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 uterus there is an elastic spherical formation, painless, 7 cm in diameter. USI:\hich\af1\dbch\af31505\loch\f1  in the right }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 ovary - a fluid formation, 4 cm in diameter, unicameral, smooth. What method of treatment is }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 the most preferable?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Prescription of an estrogen-gestogen complex for 3 months with repeated examination    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Operative treatment   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Dispensary observation of the patient   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Anti-inflammatory therapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Chemotherapeutic treatment   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid16322835 
\hich\af1\dbch\af31505\loch\f1 21}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 40 year old patient complains of yellowish discharges from the vagina. Bimanual }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 examination revealed no pathological changes. The smear cont\hich\af1\dbch\af31505\loch\f1 ains Trichomonas vaginalis }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 and blended flora. Colposcopy revealed two hazy fields on the frontal labium, with a negative }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Iodine test. Your tactics:   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Treatment of specific colpitis and subsequent biopsy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Diathermocoagulation of the cervix of the\hich\af1\dbch\af31505\loch\f1  uterus   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Specific treatment of Trichomonas colpitis    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervix ectomy    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cryolysis of cervix of the uterus   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\cgrid0\insrsid6250521\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid16322835 
\hich\af1\dbch\af31505\loch\f1 22}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 48 year old female patient complains about contact haemorrhage. Speculum examination }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 revealed hypertrophy of uterus cervix. It resembles of cauliflower, it is dense and can be easily}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  injured. Bimanual examination revealed that fornices were shortened, uterine body was }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 nonmobile. What is the most probable diagnosis?  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervical carcinoma  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Metrofibroma  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Endometriosis  }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervical pregnancy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835 \hich\af1\dbch\af31505\loch\f1 Cervical papillomatosis }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid16322835 
\hich\af1\dbch\af31505\loch\f1 23}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Laparotomy was performed to a 54 y.o. woman on account of big formation in pelvis that }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 turned out to be one-sided ovarian tumor along with considerable omental metastases. The }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 most appropriate intraoperative tactics involves:   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ablation of omentum, uterus and both ovaries with tubes  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Biopsy of omentum   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Biopsy of an ovary  }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Abla\hich\af1\dbch\af31505\loch\f1 tion of an ovary and omental metastases    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Ablation of omentum and both ovaries with tubes  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid16322835 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f31506\fs24\cgrid0\insrsid16322835\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid16322835 
\hich\af1\dbch\af31505\loch\f1 24}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid16322835\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 43 y.o. patient complains of formation and pain in the right mammary gland, rise of }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 temperature up to $37,2^0C$ during the last 3 months. Condition worsens before the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 menstruation. On examination: edema of the right breast, hyperemia, retracted nipple. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uncl\hich\af1\dbch\af31505\loch\f1 ear painful infiltration is palpated in the lower quadrants. What is the most probable }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 A}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Cancer of the right mammary gland   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 B}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Right-side acute mastitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Right-side chronic mastitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 D}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Premenstrual syndrome     }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid16322835 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Tuberculosis of the right mammary gland   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f31506\fs24\cgrid0\insrsid16322835\charrsid16322835 
\par }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid16322835 \tab \tab \hich\af1\dbch\af31505\loch\f1 25}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A parturient complains about pain in the mammary gland. Palpation revealed a 3}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'f5}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 4 cm large }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 infiltration, soft in the centre. Body temperature is $38,5^oC$. What is the most probable }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosis?  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute purulent mastitis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Pneumonia  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Pleuritis  }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Retention of milk  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Birth trauma  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid16322835 
\hich\af1\dbch\af31505\loch\f1 26}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid16322835 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 14 year old girl complains of profuse bloody discharges from genital tracts during 10 days }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 after suppresion of menses for 1,5 m\hich\af1\dbch\af31505\loch\f1 onth. Similiar bleedings recur since 12 years on the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 background of disordered menstrual cycle. On rectal examination: no pathology of the internal}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  genitalia. In blood: }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'cd}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835 \hich\af1\dbch\af31505\loch\f1 b - 70 g/l, RBC- 2,3}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835\charrsid6253736 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid16322835 \hich\af1\dbch\af31505\loch\f1 cdot10^\{12\}}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 /l, Ht - 20. What is the most probable }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Juvenile bleeding, posthemorrhagic anemia    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Werlholf's disease    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Polycyst ovarian syndrome     }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hormonoproductive ovary tumor   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Incomplete spontaneous abortion   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 27}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 33-year-old wom\hich\af1\dbch\af31505\loch\f1 an was urgently brought to clinic with complaints of the pain in the lower }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 part of the abdomen, mostly on the right, irradiating to rectum, she also felt dizzy. The above }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 mentioned complaints developed acutely at night. Last menses wer\hich\af1\dbch\af31505\loch\f1 e 2 weeks ago. On }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 physical exam: the skin is pale, Ps  - 92 bpm, t- $36,6^OC$, BP- 100/60 mm Hg. The }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 abdomen is tense, slightly tender  in lower parts, peritoneal symptoms are slightly positive. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hb- 98 g/L. What is the most probable diagnosis?}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Apop\hich\af1\dbch\af31505\loch\f1 lexy of the ovary }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute appendicitis}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Intestinal obstruction}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Abdominal pregnancy}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6253736 \hich\af1\dbch\af31505\loch\f1 
Renal coli}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 2}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 \hich\af1\dbch\af31505\loch\f1 8}{\rtlch\fcs1 \ab\af1\afs21 
\ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 54-year-old female patient consulted a doctor about bloody discharges from the genital }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 tracts after 2 years of amenorrhea. USI and bimanual ex\hich\af1\dbch\af31505\loch\f1 amination revealed no genital }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 pathology. What is the tactics of choice?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Fractional biopsy of lining of uterus and uterine mucous membranes   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Styptic drugs   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Contracting drugs   }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Estrogenic haemostasia   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hysterectomy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 \tab \hich\af1\dbch\af31505\loch\f1 29}{\rtlch\fcs1 
\ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 27 y.o. woman turns to the maternity welfare centre because of infertility. She has had }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 sexual life in marriage for 4 years, doesn't use contraceptives. She didn't get pregnant. On }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 examination: genital development is without pathology, uterus tubes are passable, basal }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 (rectal) temperature is one-phase during last 3 menstrual cycles. What is the infertility cause?}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1     }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Anovular menstrual cycle   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Chronic adnexitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Abnormal
\hich\af1\dbch\af31505\loch\f1 ities in genital development   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Immunologic infertility   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Genital endometriosis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 30}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 43 y.o. woman complains of contact hemorrhages during the last 6 months. Bimanual }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 examination: cervix of the uterus is enlarged, its mobility is reduced. Mirrors showed the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 following: cervix of the uterus is in the form of cauliflower. Chrobak and Schiller tests are }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 positive. What is the most probable diagnosis?     }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cancer of cervix of the uterus   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Polypus of the cervis of the uterus  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Cervical pregnancy  }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Nascent fibroid  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Leukoplakia  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 31}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 26-year-old woman gave birth to a child 6 months ago. She applied to gynecologist }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 complaining of menstruation absence. The child is breast-fed. Vagina exam: uterus is of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 normal form, dense consistence. What is the most probable diagnosis?}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Physiological amenorrhea}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Pseudoamenorrhea}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Gestation }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Asherman's syndrome}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6253736 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Sheehan's syndrome}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\cgrid0\insrsid6253736\charrsid6253736 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 32}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A patient was admitted to the hospital with complaints of periodical pain in the lower part of }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 abdomen that gets worse during menses, weakness, malaise, nervousness, dark bloody }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 smears from vagina directly before and after menses. Bimanual examination revealed that }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 uterus body is enlarged, appendages cannot be palpated, posterior fornix has tuberous }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 surface. Laparoscopy revealed: ovaries, peritoneum of rectouterine pouch and p\hich\af1\dbch\af31505\loch\f1 ararectal fat }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 have "cyanotic eyes". What is the most probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Disseminated form of endometriosis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Polycystic ovaries  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Chronic salpingitis  
}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Tuberculosis of genital organs   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ovarian cystoma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 \tab \hich\af1\dbch\af31505\loch\f1 33}{\rtlch\fcs1 
\ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 59 year old female patient applied to a maternity welfare clinic and complained about bloody}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  discharges from the genital tracts. Postmenopause is 12 years. Vaginal examination }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 revealed that external genital organs had signs of age involution, uterus cervix was not }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 erosive, small amount of bloody discharges came from the cervical canal. Uterus was of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 normal size, uterine appendages were unpalpable. Fornices were deep and pain\hich\af1\dbch\af31505\loch\f1 less. What }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 method should be applied for the diagnosis specification?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Separated diagnosic curretage  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Laparoscopy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Puncture of abdominal cavity through posterior vaginal fornix  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Extensive colposcopy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Culdoscopy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 34}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 25-year-old woma\hich\af1\dbch\af31505\loch\f1 n complains of profuse foamy vaginal discharges, foul, burning and }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 itching in genitalia region. She has been ill for a week. Extramarital sexual life. On }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 examination: hyperemia of vaginal mucous, bleeding on touching, foamy leucorrhea in the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 urethral\hich\af1\dbch\af31505\loch\f1  area. What is the most probable diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Trichomonas colpitic   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Gonorrhea   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Chlamydiosis   }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Vagina candidomicosis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Bacterial vaginosis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 35}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 26 year old woman who delivered a child 7 months ago has been suffering from nausea, }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 morning vomiting, sleepiness for the last 2 weeks. She suckles the child, menstruation is }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 absent. She hasn't applied any contraceptives. What method should be applied in order to }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 specify her diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ultrasonic examination  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Roentgenography of\hich\af1\dbch\af31505\loch\f1  small pelvis organs  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Palpation of mammary glands and pressing-out of colostrum  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Bimanual vaginal examination  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6253736 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Speculum examination  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\cgrid0\insrsid6253736\charrsid6253736 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 
\b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 36}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 13 year old girl consulted the school doctor on account of moderate bloody discharge from }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 the genital tracts, which appeared 2 days ago. Secondary sexual characters are developed. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 What is the most probable cause of bloody discharge?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Menarche   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Juvenile hemorrhage   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Haemophilia   }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Endometrium cancer   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Werlhof's disease   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 3}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 \hich\af1\dbch\af31505\loch\f1 7}{\rtlch\fcs1 \ab\af1\afs21 
\ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 After examination a 46-year-old patient was diagnosed with left breast cancer T2N2M0, cl. gr. }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 II-a. What will be the treatment plan for this patient?     }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Radiation therapy + operation + chemotherapy    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Operation only   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Operation + radiation therapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Radiation therapy only   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Chemotherapy only   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f31506\fs28\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 38}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 During examination of a patient, masses in the form of condyloma on a broad basis are found}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  in the area of the perineum. What is the tactics of the doctor?}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 To send a woman into dermatological and venerological centre}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cryodestruction of condyloms}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Surgical ablation of condyloms}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Chemical coagulator treatment}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Antiviral  treatment}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 39}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 28 year old woman has bursting pain in the lowe\hich\af1\dbch\af31505\loch\f1 r abdomen during menstruation; }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 chocolate-like discharges from vagina. It is known from the anamnesis that the patient suffers}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  from chronic adnexitis. Bimanual examination revealed a tumour-like formation of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 heterogenous consistency 7}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'f5}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 7 cm large to th\hich\af1\dbch\af31505\loch\f1 e left from the uterus. The formation is }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 restrictedly movable, painful when moved. What is the most probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Endometrioid cyst of the left ovary  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Follicular cyst of the left ovary   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Fibromatous node  }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Exacerbation of chronic adnexitis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Tumour of sigmoid colon  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 4}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 0}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 
\b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 68-year-old patient consulted a doctor about a tumour in her left mammary gland. }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Objectively: in the upper internal quadrant of the left mammary gland there is a neoplasm up }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 to 2,5 cm in diameter, dense, uneven, painless on palpation. Regional lymph nodes are not }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 enlarged. What is the most likely diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cancer   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cyst   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Fibroadenoma   }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Mastopathy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Lipoma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 41}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 40-year-old female patient has been observing profuse menses accompanied by }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 spasmodic pain in the lower abdomen for a year. Bimanual examination performed during }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 menstruation revealed a dense formation up to 5 cm in diameter in the cervical canal. Ut\hich\af1\dbch\af31505\loch\f1 erus }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 is enlarged up to 5-6 weeks of pregnancy, movable, painful, of normal consistency. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Appendages are not palpable. Bloody discharges are profuse. What is the most likely }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Nascent submucous fibromatous node  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Abortion in progress  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Cervical carcinoma  }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervical myoma  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Algodismenorrhea  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 42}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 29-year-old patient complains of sterility. Sexual life is for  4 years being married, does not }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 use contraception. There was no pregnancy before. On physical examination, genitals \hich\af1\dbch\af31505\loch\f1 are }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 developed normally. Uterine tubes are passable. Rectal temperature during three menstrual }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 cycles  is monophase. What is the most probable  reason for sterility?}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Anovulatory  menstrual cycle}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Chronic adnexitis}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Anomalies of genitals development }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Immunologic sterility}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Genital endometriosis}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 43}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 45 y.o. woman complains of contact bleedings during 5 months. On speculum examination:}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  hyperemia of uterus cervix, looks like cauliflower, bleeds on probing. On bimanual }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 exami\hich\af1\dbch\af31505\loch\f1 nation: cervix is of densed consistensy, uterus body isn't enlarged, mobile, nonpalpable}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  adnexa, parametrium is free, deep fornixes. What is the most likely diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cancer of cervix of uterus   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cancer of body of uterus     }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Fibromatous node
\hich\af1\dbch\af31505\loch\f1  which is being born   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervical pregnancy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Polypose of cervix of uterus    }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6253736 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{
\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 \hich\af1\dbch\af31505\loch\f1 44}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 20 y.o. patient complains of amenorrhea. Objectively: hirsutism, obesity with fat tissue }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 prevailing on the face, neck, upper part of body. On the\hich\af1\dbch\af31505\loch\f1  face there are $acne$ $vulgaris$, on }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 the skin - striae cutis distense. Psychological and intellectual development is normal. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Gynecological condition: external genitals are moderately hairy, acute vaginal and uterine }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 hypoplasia. What diagnosis is the most probable?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Itsenko-Cushing syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Turner's syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Stein-Levental's syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Shichan's syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Babinski-Froehlich syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6253736 
\hich\af1\dbch\af31505\loch\f1 45}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6253736 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 24-year-old female patient complains of acute pain in the lower abdomen that turned up }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 after a physical stress. She presents with nausea, vomiting, dry mouth and body temperature }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 36,6}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6253736 \loch\af1\dbch\af31505\hich\f1 \'b0}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 C. She has a right ovarian cyst in history. Bimanual examination r\hich\af1\dbch\af31505\loch\f1 eveals that uterus }{\rtlch\fcs1 \af1\afs25 
\ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 is dense, painless, of normal size. The left fornix is deep, uterine appendages aren't }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 palpable, the right fornix is contracted. There is a painful formation on the right of uterus. It's }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 

\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 round, elastic and mobile. It is 7}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'f5}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 8 cm larg\hich\af1\dbch\af31505\loch\f1 e. In blood: leukocytosis with the left shit. What is }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 the most likely diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ovarian cyst with pedicle torsion   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Right-sided pyosalpinx   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Subserous fibromyoma of uterus   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute metritis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Extrauterine pregnancy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid4470100 
\hich\af1\dbch\af31505\loch\f1 46}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid4470100 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 42-year-old woman has had hyperpolymenorrhea and progressing algodismenorrhea for }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 the last 10 years. Gynaecological examination revealed no changes of uterine cervix; }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 discharges are moderate, of chocolate colour, uterus is slightly enl\hich\af1\dbch\af31505\loch\f1 arged and painful, }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 appendages are not palpable, the fornices are deep and painless. What is the most likely }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uterine endometriosis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uterine carcinoma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Subserous uterine fibromyoma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Endomyometritis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Adnexal endmetriosis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid4470100 
\hich\af1\dbch\af31505\loch\f1 4}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 7}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 
\b\f1\fs21\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 26-year-old woman complains of having bloody discharges from the genitals for the last 14 }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 days, abdominal pain, general fatiguability, weakness, weight loss, body temperature rise, }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 chest pain, obstructed respiration. 5 weeks ago she underwent induced abortion in the 6-7 }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 week of gestation. Objectively: the patient is pale and inert. Bimanual examination revealed }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 that the uterus was enlarges up to 8-9 weeks of gestation. In blood: \hich\af1\dbch\af31505\loch\f1 Hb- 72 g/l. Urine test for }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 chorionic gonadotropin gave the positive result. What is the most likely diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Chorioepithelioma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Metroendometritis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Uterus perforation   
}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uterine fibromyoma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uterine carcinoma   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid12677221 \tab \hich\af1\dbch\af31505\loch\f1 48}{\rtlch\fcs1 
\ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid12677221 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 25 y.o. patient complains }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid4470100 \hich\af1\dbch\af31505\loch\f1 of body temperature rise up to }{\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 37}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid4470100 
\loch\af1\dbch\af31505\hich\f1 \'b0}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'d1}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 , pain at the bottom of her }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 abdomen and vaginal discharges. Three days ago, when she was in her 11th week of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 pregnancy, she had an artificial abortion. Objectibely: cervix of uterus is clean, uterus is a little }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 

\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 bit enlarged in size, painful. Appendages cannot be determined. Fornixes are deep, painless. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Vaginal discharges are sanguinopurulent. What is the most\hich\af1\dbch\af31505\loch\f1  probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Postabortion endometritis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hematometra  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Pelvic peritonitis  }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Postabortion uterus perforation  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid12677221 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Parametritis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid12677221 
\hich\af1\dbch\af31505\loch\f1 49}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid12677221 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 51-year-old patient complains of having intensive bloody discharges from vagina for 15 }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 days after delay of menstruation for 2,5 months. In anamnesis: disorders of menstrual }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 function during a year, at the same time she felt extreme irritability and had sleep disorders. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 US examination results: uterus corresponds with age norms, appendages \hich\af1\dbch\af31505\loch\f1 have no }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 pecularities, endometrium is 14 mm thick. What is the doctor's tactics?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Diagnostic curettage of uterine cavity   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Conservative treatment of bleeding  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Hysterectomy  }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Supravaginal amputation of uterus without appendages  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 TORCH-infection test   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\cgrid0\insrsid6250521\charrsid12677221 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid12677221 
\hich\af1\dbch\af31505\loch\f1 50}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid12677221 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 An 18 y.o. patient complains of painfulness and swelling of mammary glands, headaches, }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 irritability, edemata of lower extremities. These symptoms have been present since the begin }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 of menarche, appear 3-4 days before regular menstruation. Gynecological examination }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 revealed no pathology. What is the most probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Premenstrual syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Neurasthenia  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Renal disease  }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Mastopathy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Disease of cardiovascular system  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid12677221 
\hich\af1\dbch\af31505\loch\f1 51}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid12677221 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 22-year-old female patient complains of dull pain in her right iliac area that she has been }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 experiencing for a week, morning sickness and gustatory change. She has a histrory of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 menstruation dela\hich\af1\dbch\af31505\loch\f1 y for 3 weeks. Objectively: AP- 80/50 mm Hg, pulse is 78  bpm, body }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid12677221 
\hich\af1\dbch\af31505\loch\f1 \hich\f1 temperature is 37\'b0}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
C. Bimanual examination reveals that uterus is enlarged, soft, mobile }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 and painless. Uterine appendages are palpable on the right, there is a dense, elastic and }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 mode\hich\af1\dbch\af31505\loch\f1 rately painful formation 3x4 cm large. What is the most likely diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Progressing fallopian pregnancy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Interrupted fallopian pregnancy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Right ovarian cyst   
}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uterogestation   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute appendicitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 5}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid801437 \hich\af1\dbch\af31505\loch\f1 2}{\rtlch\fcs1 \ab\af1\afs21 
\ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid801437 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 22 y.o. patient complains of having boring pain in the right iliac region for one week, }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 morning sickness, taste change. Delay of menstruation is 3 weeks. Objectively: AP- 110/70 }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid801437 \hich\af1\dbch\af31505\loch\f1 
\hich\f1 mm Hg, Ps- 78/min, t- 37,0\'b0}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'d1}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 . Bimanual examination revealed that uterus \hich\af1\dbch\af31505\loch\f1 is a little }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 enlarged, soft, movable, painless. Appendages palpation: a painful formation 3}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'f5}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 4 cm large on}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  the right, it is dense and elastic, moderately movable. What is the most probable diagnosis? }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Progressing tubal pregnancy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Interrupted tubal pregnancy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Cyst of the right ovary  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Uterine pregnancy  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute appendicitis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 53}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 25-year-old female patient complains about having amenorrhea for 3 years. She associates}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  it with difficult labour complicated by massive hemor\hich\af1\dbch\af31505\loch\f1 rhage. She also complains of loss of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 weight, hair fragility and loss, lack of appetite and depression. Objective examination reveals }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 no pathological changes of uterus and its appendages. What is the desease pathogenesis?  }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hypoproduction of gonadotropin   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hyperproduction of estrogens   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Hyperproduction of androgens   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hypoproduction of progesterone  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hyperproduction of prolactin  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 54}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 30-year-old patient cons\hich\af1\dbch\af31505\loch\f1 ulted a doctor about menstruation absence for 2 years after labour, }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 loss of hair, body weight loss. The labour was complicated by a haemorrhage caused by }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 uterus hypotonia. Objectively: the patient is asthenic, external genitals are hypoplastic, the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 u\hich\af1\dbch\af31505\loch\f1 terus body is small and painless. The appendages are not palpaple. What is the most likely }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Sheehan's syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ovarian amenorrhea   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Turner's syndrome   }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Exhausted overy syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Galactorrhea-amenorrhea syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 55}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 28-year-old patient has been admitted to the gynecological department three days after a }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 casual coitus. She complains about pain in her lower abdomen and during urination, profuse }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 purulent discharges from the vagina, body temperature rise up to $37,8\hich\af1\dbch\af31505\loch\f1 ^oC$. The patient was}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  diagnosed with acute bilateral adnexitis. Supplemental examination revealed: the 4th degree }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 of purity of the vaginal secretion, leukocytes within the whole visual field, diplococcal bacteria }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 

\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 located both intra- and extracellular\hich\af1\dbch\af31505\loch\f1 ly. What is the etiology of acute adnexitis in this patient?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Gonorrheal   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Colibacterial   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Chlamydial   }{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Trichomonadal   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Staphylococcal   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 56}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 25-year-old woman came to a maternity welfare clinic and complained about being unable }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 to conceive within 3 years of regular sexual life. Examination revealed weight gain, male }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 pattern of hair distribution on the pubis, excessive pilosis of thighs. Ovaries were dense and }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 enlarged, basal temperature was monophase. What is the most likely \hich\af1\dbch\af31505\loch\f1 diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Sclerocystosis of ovaries  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Tubo-ovaritis  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Adrenogenital syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Premenstrual syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Gonadal dysgenesis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 57}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 28 year old patient complained about prolongation of intermenstrual periods up to 2 }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 months, hirsutism. Gynaecological examination revealed that the ovaries were enlarged, }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 painless, compact, uterus had no pecularities. Pelvic ultrasound revealed that the ovaries }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 were 4-5 cm in diameter and had multiple enlarged follicles on periphery. \hich\af1\dbch\af31505\loch\f1 Roentgenography }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 of skull base showed that sellar region was dilated. What is the most probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Stein-Leventhal syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Algodismenorrhea  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Sheehan's syndrome   
}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Premenstrual syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Morgagni-Stewart syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 
\b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 5}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 \hich\af1\dbch\af31505\loch\f1 8}{\rtlch\fcs1 \ab\af1\afs21 
\ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A woman consulted a therapeutist about fatigability, significant weight loss, weakness, loss }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 of appetite. She has had amenorrhea for 8 months. A year ago she born a full-term child. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Haemorrhage during labour made up 2 l. She got blood and blood substit\hich\af1\dbch\af31505\loch\f1 ute transfusions. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 What is the most probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Sheehan's syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Stein-Leventhal syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Shereshevsky-Turner's syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Homological blood syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6887884 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Vegetovascular dystonia  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid6887884 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 59}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 54-year-old female patient consulted a gynaecologist about bloody discharges from the }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 vagina for 1 month. Last menstruation was 5 years ago. Gynaecological examination revealed}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  no pathological changes. What is the tactics of choice?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Diagnostic f\hich\af1\dbch\af31505\loch\f1 ractional curettage of uterine cavity   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Colposcopy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 USI   }{\rtlch\fcs1 
\af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cytosmear   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Symptomatic therapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 60}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 An ambulance delivered a 21-year-old woman to the gynaecological department with }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 complaints of colicky abdominal pain and bloody discharges from the genital tracts. Bimanual}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  examination revealed that uterus was soft, enlarged to the size of 6 weeks of gestation, a }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 gestational sac was palpated in the cervical canal. Uterine appendag\hich\af1\dbch\af31505\loch\f1 es weren't palpable. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Fornices are free, deep and painless. Discharges from the genital tracts are bloody and }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 profuse. What is the most likely diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Abortion in progress  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Cervical pregnancy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Threat of abortion   
}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Incipient abortion   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Interrupted fallopian pregnancy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 61}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 33 y.o. woman survived two operations on account of extrauterine pregnancy, both uterine }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 tubes were removed. She consulted a doctor with a question about possibility of having a }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 child. What can be advised in this case?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Extracorporal fertilization  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Insemination with her husband's semen  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Substitutional maternity  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Artifical fertilization with donor's semen  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Induction of ovulation  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 62}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 On the fifth day after a casual sexual contact a 25-year-old female patient consulted a doctor }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 about purulent discharges from the genital tracts and itch. Vaginal examination showed that }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 vaginal part of uterine cervix was hyperemic and edematic. There \hich\af1\dbch\af31505\loch\f1 was an erosive area around}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  the external orifice of uterus. There were mucopurulent profuse discharges from the cervical }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 canal, uterine body and appendages exhibited no changes. Bacterioscopic examination }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 revealed bean-shaped diplococci that became re\hich\af1\dbch\af31505\loch\f1 d after Gram's staining. What is the most }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 likely diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Acute gonorrheal endocervicitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Trichomonal colpitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Candidal vulvovaginitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Clamydial endocervicitis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Bacterial vaginism  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 6}{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6887884 \hich\af1\dbch\af31505\loch\f1 3}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 
\b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 26 year old woman complains about edemata, swelling and painfulness of mammary }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 glands, headache, tearfulness, irritability. These signs turn up 5 days before menstruation }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 and disappear after its start. What clinical syndrome is it?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Premenstrual syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Postcastration syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Adrenogenital syndrome  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Climacteric syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Stein-Leventhal syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 64}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 49-year-old woman complains about headache, head and neck going hot, increased }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 perspiration, palpitation, arterial pressure rise up to 170/100 mm Hg, irritability, insomnia, }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 tearfulness, memory impairment, rare and scarce menses, body weight increase by 5 kg over}{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  the last half a year. What is the most likely diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Clim\hich\af1\dbch\af31505\loch\f1 acteric syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Premenstrual syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Vegetative-vascular dystonia   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Arterial hypertension   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Postcastration syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 65}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 30-year-old female patient has been delivered to the gynaecological department with }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 complaints of acute pain in the lower abdomen and body temperature $38,8^oC$. In history: }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 sexual life out of wedlock and two artificial abortions. Gynaecological examination reveals no }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 changes of uterine. The appendages are enlarged and painful on both\hich\af1\dbch\af31505\loch\f1  sides. Vaginal }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 discharges are purulent and profuse. What study is required to confirm a diagnosis?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Bacteriological and bacterioscopic analysis   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hysteroscopy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Curettage of uterine cavity   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Colposcopy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Laparoscopy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6887884 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{
\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 \hich\af1\dbch\af31505\loch\f1 66}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 32-year-old patient consulted a doctor about being inable to get pregnant for 5-6 years. 5 }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 ago the primipregnancy ended in artificial abortion. After the vaginal examination and USI the }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 patient was diagnosed with endometrioid cyst of the right ovary.\hich\af1\dbch\af31505\loch\f1  What is the optimal treatment }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 method?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Surgical laparoscopy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Anti-inflammatory therapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Conservative therapy with estrogen-gestagenic drugs   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hormonal therapy with androgenic hormones   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Sanatorium-and-spa treatment   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 \tab \hich\af1\dbch\af31505\loch\f1 67}{\rtlch\fcs1 
\ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 30 year old patient complains about inability to become pregnant over 3 years of married }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 life. The patient is of supernutrition type, she has hair along the median abdominal line, on }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 the internal thigh surface and in the peripapillary area. Menses st\hich\af1\dbch\af31505\loch\f1 arted at the age of 16, they }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 are infrequent and non-profuse. US revealed that the uterus was of normal size, ovaries were }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 4}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'f5}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 5}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\cgrid0\insrsid6250521 \loch\af1\dbch\af31505\hich\f1 \'f5}{\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 5 cm large and had a lot of cystic inclusions. What is the most probable diagnosis?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 
\f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Polycystic ovaries  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Ovarian cystom\hich\af1\dbch\af31505\loch\f1 a  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 Chronic oophoritis  }
{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Menstrual irregularity  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Bilateral ovarian tumours  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 68}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 49-year-old patient undergoes regular medical check-up for uterine fibromyoma. Within the }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 last year the uterus has enlarged up to 20 weeks of gestation. What is the rational way of }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 treatment?    }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Surgical treatment   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hormonal therapy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Further surveillance   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Embolization of uterine arteries   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Treatment with prostaglandin inhibitors   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid6887884 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\f31506\fs22\cf9\cgrid0\insrsid6250521\charrsid6887884 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af39\dbch\af31505\loch\f39  \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\cf1\cgrid0\insrsid6887884 
\hich\af1\dbch\af31505\loch\f1 69}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\cgrid0\insrsid6250521\charrsid6887884 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 A 14-year-old girl complains of pain in vaginal area and lower abdomen that last for 3-4 days }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 and have been observed for 3 months about the same time. Each time pain is getting worse. }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Objectively: mammary glands are developed, hairiness corresponds to the age. The virginal }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 membrane is intact, cyanotic and protruded. She has never had menstruation. She has been }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 diagnosed with primary amenorrhea. What is the reason of amenorrhea?   }{\rtlch\fcs1 \af1\afs25 \ltrch\fcs0 \f1\fs25\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx221\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Hymen atresia   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Turner's syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 
\f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af1\dbch\af31505\loch\f1 
Babinski-Frohlich syndrome   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx241\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\hich\af1\dbch\af31505\loch\f1 Pregnancy   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid8005027 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\tx226\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid6887884 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af39\afs24 \ltrch\fcs0 \f39\fs24\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid6887884 \tab }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid6887884 
\hich\af1\dbch\af31505\loch\f1 Sexual development delay   }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \f1\fs28\cf1\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid6887884 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\cgrid0\insrsid6250521 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\cgrid0\insrsid6887884 \hich\af0\dbch\af31505\loch\f0      \tab }{\rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\cgrid0\insrsid6887884\charrsid6887884 \hich\af0\dbch\af31505\loch\f0 70
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid6887884 {\rtlch\fcs1 \ab\af42\afs22 \ltrch\fcs0 \b\f42\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af42\dbch\af31505\loch\f42  }{\rtlch\fcs1 
\af41\afs22 \ltrch\fcs0 \f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af41\dbch\af31505\loch\f41 
A 58-year-old female patient cameto the antenatal clinic with complaintsof bloody light-red discharges fromthe genital tracts. Menopause is 12years. Gynaecological examination foundexternalia and vagina to have age involution;uterine cervix was unchanged,
\hich\af41\dbch\af31505\loch\f41  \hich\af41\dbch\af31505\loch\f41 therewere scant bloody discharges from uterinecervix, uterus was of normal size;uterine appendages were not palpable;parametria were free. What is the most
\par \hich\af41\dbch\af31505\loch\f41 likely diagnosis?
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6887884\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 A}{\rtlch\fcs1 \af41\afs22 \ltrch\fcs0 
\f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af41\dbch\af31505\loch\f41  Uterine carcinoma}{\rtlch\fcs1 \af41\afs22 \ltrch\fcs0 \f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6887884\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 B}{\rtlch\fcs1 \ab\af42\afs22 \ltrch\fcs0 
\b\f42\fs22\lang1033\langfe1049\langnp1033\insrsid6887884 \hich\af42\dbch\af31505\loch\f42  }{\rtlch\fcs1 \af41\afs22 \ltrch\fcs0 \f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af41\dbch\af31505\loch\f41 Atrophic colpitis

\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6887884\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \ab\af42\afs22 \ltrch\fcs0 
\b\f42\fs22\lang1033\langfe1049\langnp1033\insrsid6887884 \hich\af42\dbch\af31505\loch\f42  }{\rtlch\fcs1 \af41\afs22 \ltrch\fcs0 \f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af41\dbch\af31505\loch\f41 
Abnormalities of menstrual cycle with cl\hich\af41\dbch\af31505\loch\f41 imacteric character
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6887884\charrsid8005027 \hich\af0\dbch\af31505\loch\f0 D}{\rtlch\fcs1 \ab\af42\afs22 \ltrch\fcs0 
\b\f42\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af42\dbch\af31505\loch\f42  }{\rtlch\fcs1 \af41\afs22 \ltrch\fcs0 \f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af41\dbch\af31505\loch\f41 
Cervical carcinoma}{\rtlch\fcs1 \af41\afs22 \ltrch\fcs0 \f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884 
\par }{\rtlch\fcs1 \ab\ai\af0\afs22 \ltrch\fcs0 \b\i\fs22\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6887884\charrsid6887884 \hich\af0\dbch\af31505\loch\f0 E}{\rtlch\fcs1 \ab\af42\afs22 \ltrch\fcs0 
\b\f42\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af42\dbch\af31505\loch\f42  }{\rtlch\fcs1 \af41\afs22 \ltrch\fcs0 \f41\fs22\lang1033\langfe1049\langnp1033\insrsid6887884\charrsid6887884 \hich\af41\dbch\af31505\loch\f41 
Granulosa cell tumor of ovary
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\tx90\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af0\afs28 \ltrch\fcs0 \b\i\fs28\cf9\lang1033\langfe1049\cgrid0\langnp1033\insrsid6250521\charrsid6887884 
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