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A 32-Year-Old Woman, Gravida 4 Para 0, Comes to the Office

Question 3

Multiple Choice

A 32-year-old woman, gravida 4 para 0, comes to the office for evaluation of recurrent pregnancy loss.  She has had 4 consecutive spontaneous abortions with the same partner.  The patient has menstrual cycles approximately 28 days apart, with light bleeding for 2-3 days.  She has no chronic medical conditions and takes no daily medications.  The patient does not use tobacco, alcohol, or illicit drugs.  Results of her hysterosalpingogram are shown in the exhibit.  A 32-year-old woman, gravida 4 para 0, comes to the office for evaluation of recurrent pregnancy loss.  She has had 4 consecutive spontaneous abortions with the same partner.  The patient has menstrual cycles approximately 28 days apart, with light bleeding for 2-3 days.  She has no chronic medical conditions and takes no daily medications.  The patient does not use tobacco, alcohol, or illicit drugs.  Results of her hysterosalpingogram are shown in the exhibit.    Failure of which of the following processes is the most likely underlying mechanism of this patient's condition? A) Development of the paramesonephric ducts B) Differentiation of the mesonephric tubules C) Fusion of the mesonephric ducts D) Lateral fusion of the paramesonephric ducts E) Vertical fusion of the paramesonephric ducts with the urogenital sinus
Failure of which of the following processes is the most likely underlying mechanism of this patient's condition?


A) Development of the paramesonephric ducts
B) Differentiation of the mesonephric tubules
C) Fusion of the mesonephric ducts
D) Lateral fusion of the paramesonephric ducts
E) Vertical fusion of the paramesonephric ducts with the urogenital sinus

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