3. A married couple came to a hospital for infertility investigation They were trying to for the last two years. They do not have previous history of contraception Accordingly the gynecologist ordered laboratory investigations for the couple. What is the most likely first laboratory investigation to be done for this couple? (A) Urine HCG test (C) Hormonal assay (B) Semen analysis (D) Serum FSH level 6. A 30-year-old mother was admitted to gynecology ward with vesco-vaginal fistul second to obstructed labor. The mother gave birth at home before 2 months.She is scheduled for listula repair after a week. What is the most appropriate nursing intervention for this mother? (A) Emotional support (C) Maintain patient on clear liquids (11) Insert catheter in the bladder (D) Encourage frequent sitsbaths 7. An 18-year-old lady came to a gynecology OPD with a complaint of abdominal distension for one month. She has abdominal swelling, and dull like pain. On examination. solid, more than 10 cm in diameter The imaging result showed that the tumor is which has originated from the primitive yolk sack. What is the most likely diagnosis of this woman? (A) Dysgerminoma turnor (B) Chonocarcinoma tumor (C) Immature teratom tumor (D) Endodermal sinus tumor 8. A 26-year-old non inal histoman came to a hospital with of Inter-menstrual cervical tuntal vaginal bleeding for third of them hs. CT scan She was diagnosed for stage II. stage th lower third or it e vagina without vestigation resull itchy What is the most likely manifestation that corresponds to this stage? (E) Adenexial excitation tenderness (C) (D) Excessive flui accumulatio

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3. A married couple came to a hospital for infertility investigation They were trying to for the last two years. They do not have previous history of contraception Accordingly the gynecologist ordered laboratory investigations for the couple. What is the most likely first laboratory investigation to be done for this couple? (A) Urine HCG test (C) Hormonal assay (B) Semen analysis (D) Serum FSH level 6. A 30-year-old mother was admitted to gynecology ward with vesco-vaginal fistul second to obstructed labor. The mother gave birth at home before 2 months.She is scheduled for listula repair after a week. What is the most appropriate nursing intervention for this mother? (A) Emotional support (C) Maintain patient on clear liquids (11) Insert catheter in the bladder (D) Encourage frequent sitsbaths 7. An 18-year-old lady came to a gynecology OPD with a complaint of abdominal distension for one month. She has abdominal swelling, and dull like pain. On examination. solid, more than 10 cm in diameter The imaging result showed that the tumor is which has originated from the primitive yolk sack. What is the most likely diagnosis of this woman? (A) Dysgerminoma turnor (B) Chonocarcinoma tumor (C) Immature teratom tumor (D) Endodermal sinus tumor 8. A 26-year-old non inal histoman came to a hospital with of Inter-menstrual cervical tuntal vaginal bleeding for third of them hs. CT scan She was diagnosed for stage II. stage th lower third or it e vagina without vestigation resull itchy What is the most likely manifestation that corresponds to this stage? (E) Adenexial excitation tenderness (C) (D) Excessive flui accumulatio

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3. The most likely first laboratory investigation to be done for this couple is (B) Semen analysis. Semen analysis is a common initial test to evaluate male fertility and can help identify potential issues such as low sperm count or abnormal sperm morphology.6. The most appropriate nursing intervention for this mother is (A) Emotional support. Emotional support is crucial for a mother with a vesico-vaginal fistula, as it can be a distressing condition. Additionally, maintaining the patient on clear liquids and inserting a catheter in the bladder can help manage symptoms and prepare for surgery.7. The most likely diagnosis for this woman is (D) Endodermal sinus tumor. The description of the tumor being solid, more than 10 cm in diameter, and originating from the primitive yolk sac is consistent with an endodermal sinus tumor.8. The most likely manifestation that corresponds to this stage is (B) Offensive excitation tenderness. Inter-menstrual and post-coital bleeding can be caused by various conditions, and the specific manifestation would depend on the underlying cause. In this case, the presence of a tumor involving the lower third of the vagina suggests a more advanced stage, which could manifest as offensive excitation tenderness.

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