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Physical Exam Reveals the Uterus to Be About 6 Wk

Question 15

Multiple Choice

Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is scanty with no discernible tissue in the cervical os. There are no palpable adnexal masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a gestational sac. Which of the following should be recommended?


A) Dilatation & curettage.
B) Culdocentesis.
C) Observation followed by serial B-HCG determinations.
D) Diagnostic laparoscopy.
E) Laparotomy

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