A. A.5-year-old woman came to a family planning clinic with of frequent menstrual bleeding after she took combined oral contraceptives She has he that lasts more than seven days. What is the most likely menstrual pattem for this woman? (C)Polymenorrhea (A)Metorthagia (D)Menometrorrhagia (ii) Menorthagia 3. A married couple came to a hospital for infertility investigation They were trying to the last two years. They do not have previous history of contraception usage Accordingly the synccologist ordered laboratory investigations for the couple. What is the most likely first laboratory investigation to be done for this couple? (C) Hormonal assay (A) Urine HCG test (D) Serum FSH level (B) Semen analysis 6. A 30-year-old mother was admitted o gynecology ward with vesco-vaginal fistul secondary to obstructed labor. The mother gave birth at home before 2 months She is scheduled for fistula repair after a week. What is the most appropriate nursing intervention for this mother? (A) Emotional support (C) Maintain patient on clear liquids (ii) 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. liver is enlarged, firm and nodular. The imaging result showed that the tumor is unilateral. solid, more than 10 cm in diameter which has originated from the primitive yolk sack. What is the most likely diagnosis of this woman? (A) Dysgerminoma tumor (B) Chonocarcinoma tumor (C) Immature teratoma tumor (D) Endodermal sinus tumor and post-coital vaginal bleeding for three month.of Inter-menstrual She ical involves lower third of the vis. Cl scan investigation resull She was diagnosed for stage 11. diagnosed for stage vagina, without to the pelvie wall." What is the most likely manifestation that corresponds to this stage? and itcl (i) Adenexial excitation tenderness (C) Offensive and water nutatial discharge (D) Excessive fluid accumulatior in culdosa-sac

1. The most likely menstrual pattern for the 5-year-old woman with menstrual bleeding after taking combined oral contraceptives and bleeding that lasts more than seven days is (A) Metorrhagia. Metorrhagia refers to irregular or excessive menstrual bleeding, which can be a side effect of combined oral contraceptives.<br /><br />2. The most likely first laboratory investigation to be done for the married couple trying to conceive for the last two years and presenting with infertility is (B) Semen analysis. Semen analysis is a common initial test to evaluate male fertility and can help identify any abnormalities that may be affecting the couple's ability to conceive.<br /><br />3. The most appropriate nursing intervention for the 10-year-old mother admitted to the gynecology ward with vesico-vaginal fistula secondary to obstructed labor and scheduled for fistula repair after a week is (A) Emotional support. Emotional support is crucial for the mother who has experienced a traumatic event such as obstructed labor and is facing surgery for fistula repair. Providing emotional support can help alleviate anxiety and promote mental well-being during this stressful time.<br /><br />4. The most likely diagnosis for the 18-year-old lady presenting with abdominal distension, dull-like pain, an enlarged liver that is firm and nodular, and an imaging result showing a unilateral, solid tumor more than 10 cm in diameter originating from the primitive yolk sac is (A) Dysgerminoma tumor. Dysgerminomas are a type of germ cell tumor that arise from the primitive yolk sac and can present with abdominal distension, pelvic pain, and an enlarged liver.<br /><br />5. The most likely manifestation that corresponds to stage II cervical tumor in the woman presenting with inter-menstrual and post-coital vaginal bleeding for the last three months, diagnosed through CT scan investigation, is (D) Excessive fluid accumulation in cul-de-sac. Stage II cervical cancer typically involves the spread of cancer cells to the lower third of the vagina or the pelvic wall, which can lead to excessive fluid accumulation in the cul-de-sac.