55 lady w/ persistent SOB, difficulty in climbing stairs/household chores, fatigue w/o CP, cough, syncope, or LE swelling. Med hx of CTS, hypothyroidism on levothyroxine. Additional physical findings?

32 yr-old woman abdominal pain, nausea & bleeding from the cervix. Dx bicornuate uterus 2 yrs ago. UPT +ve. USG reveals a gestational sac at the upper left uterine cornu & free fluid in the posterior pelvis. Next step?

vaccines are given according to corrected gestational age 19-yr-old woman complains of continuous clear, slightly malodorous vaginal discharge. Vagina pH of 6. She is 6 wks postpartum from a vaginal delivery of a stillborn baby. Exam shows a small, red

91 yr old found dead in aged care facility , known case of cf and ischemic heart disease, you are called to give death certificate, refer to coroner

Super difficult question. – A middle age woman with 3 episodes of palpitation over the past few months. Apical impulse displaced to left with 3rd heart sound heard at apex in left lateral position. Holosystic murmur heard loudest at apex

A 37yr old woman with persistent nausea & vomiting. Has well- controlled chronic hypertension & hypothyroidism. Dry mucous membranes & CRT is delayed. Thyroid diffusely enlarged. Urinalysis positive for ketones. US reveals 8-wk intrauterine twin gestation. Risk factor for current

68yo woman, slurring speech. history of hypertension, type 2 diabetesmellitus, and bipolar disorder. Medications include amlodipine, metformin, and lithium. Frequent bradycardia and sinus pauses. Next step?

48 Para3 with stage I hormone receptor-positive lobular breast carcinoma is prescribed with tamoxifen. Has hypertension & hyperlipidemia. Risk of long term tamoxifen therapy?

Women (has a lot of bad habit) and pregnant at twelve weeks, which of these is the worst impact on fetal?