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*Prolapse of the rectum* into the back wall of the vagina correct answers Rectocele *Prolapse of the bladder* into the front wall of the vagina correct answers Cystocele Low-dose combination oral contraceptives must be stopped in a smoker at age correct answers 35: After age 35, the associated risks of smoking and oral contraceptive use for deep venous thrombosis, cerebral vascular accidents, and myocardial infarctions are increased significantly. The patient should be counseled on estrogen-free methods of contraception. The "gold standard" for diagnosis of abnormal uterine bleeding is correct answers Uterine Dilation and Curettage Especially when done with hysteroscopy, uterine dilation and curettage can be diagnostic and therapeutic what is the incidence for dizygotic (fraternal) twins in the United States? correct answers 1 in 90 The incidence of dizygotic (fraternal) twins within the United States is approximately 1 in 90 pregnancies; it is slightly higher in African Americans and is lower in Caucasians What is the incidence for monozygotic (identical) twins in the United States? correct answers 1 in 250 The incidence for monozygotic (identical) twins is approximately 1 in 250 pregnancies. A breastfeeding woman presents 3 weeks postpartum complaining of unilateral breast pain, fever of 102°F, and chills. Breast examination shows an erythematous right breast with a palpable mass, induration, erythema, and tenderness to palpation. The most likely diagnosis is: correct answers Infectious mastitis Onset of infectious mastitis is 1 week postpartum. Treatment of choice is cloxacillin, dicloxacillin, nafcillin, or a cephalosporin. The mother should continue to nurse or pump and use warm soaks and oral pain relief During which interval in pregnancy to should patients be screened for gestational diabetes? correct answers Between 24 and 28 weeks gestation The American College of Obstetricians and Gynecologists recommends that pregnant women at low risk for gestational diabetes mellitus have a glucose tolerance test between 24 and 28 weeks of gestation because, by this point, the condition has manifested and can be detected. A woman presents to the emergency department 10 weeks after the first day of her last menstrual period complaining of bright red vaginal discharge. She denies abdominal cramping. Physical