USMLE Forum Archives - USMLE Step 3 - Obstetric-Adenexal Cyst & Pregnancy
Obstetric-Adenexal Cyst & Pregnancy
harry206 - 05-13-09 10:30
A 25-year-old G2P0 Caucasian woman comes to the office for a prenatal visit. She is 11-weeks pregnant. She had an induced abortion six years ago. She denies the use of tobacco, alcohol or illicit drugs. She takes 800 micrograms of folic acid and a multivitamin supplement daily. A recently ordered abdominal sonogram shows normal placental maturation and an adequate size of the embryo for gestational age. There is a 7 cm left adnexal cyst present in the sonogram, which was previously identified in an ultrasound evaluation during her 7th week of pregnancy. Which of the following is the most appropriate strategy to prevent any complications?
harry206 - 05-13-09 10:30
A 25-year-old G2P0 Caucasian woman comes to the office for a prenatal visit. She is 11-weeks pregnant. She had an induced abortion six years ago. She denies the use of tobacco, alcohol or illicit drugs. She takes 800 micrograms of folic acid and a multivitamin supplement daily. A recently ordered abdominal sonogram shows normal placental maturation and an adequate size of the embryo for gestational age. There is a 7 cm left adnexal cyst present in the sonogram, which was previously identified in an ultrasound evaluation during her 7th week of pregnancy. Which of the following is the most appropriate strategy to prevent any complications?
The correct answer and explanation will be available after you answer.
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#2
Re: Obstetric-Adenexal Cyst & Pr meduploader - 05-13-09 13:48 My answer is: d.
mass is
larger than 5 cm in size and persists beyond the first trimester or shows no regression in subsequent visits --> surgery
during the second trimester to avoid acute
complications that lead to preterm delivery or abnormal labor.
#22
Re: Obstetric-Adenexal Cyst & Pr babbu5508 - 08-30-10 00:03 My answer is: d.
any cyst larger than 6cm and not regressing should be surgically removed during the second trimester of regnancy...
#24
Re: Obstetric-Adenexal Cyst & Pr babbu5508 - 09-30-10 01:14 remove ovarian cysts 6 to 8 cm in size, as these are most likely to rupture, and even if they do not, they can cause a lot discomfort on the pregnant women.
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