but the symptoms that secondary anemia ? hifreehand.com

2012 obstetrics and Gynecology physician selection exercise and answer nine 1, 40 years old, a diagnosis of uterine submucous myoma secondary anemia, hemoglobin 60g / L, fibroids do not highlight the palace mouth.
Appropriate treatment should be [D] A follow-up B. Large doses of Estrogen Progesterone and D. C. Large doses of total hysterectomy. Radiation therapy [E] answer: analysis of uterine myoma ? 2.5 pregnancy month uterine size, or tumor is not big, but the symptoms that secondary anemia, need operation treatment.
Operation way of abdominal, laparoscopic hysterectomy and myoma enucleation, hysteroscopic submucosal myomectomy.In 2, ovarian cancer is the most common complication [C] A. B. C infected cyst rupture in torsion of malignant transformation.
D. E. Tumor distant metastasis [answer]: analysis of ovarian tumor complications: torsion, rupture, infection, malignant transformation, which is the most common complication of torsion.Also common gynecologic acute abdomen.
3, female, 45 years old, contact bleeding 20 days leucorrhea sample, rice, malodorous, cervical erosion with 4cm3 II, crisp texture vegetation, easy bleeding.The size of the uterus is normal, palpation and dual attachment (-).
The most likely diagnosis is [C] A. B uterine cervical polyps cervical erosion cervical cancer D. C. E. Cervical choriocarcinoma uterine cervical tuberculosis [answer]: analysis of uterine cervical cancer appears the earliest clinical signs for contact bleeding, occurred after sexual intercourse or hemorrhage after gynecological examination, later may have menstrual interphase or postmenopausal small intermittent bleeding, bleeding volume increase late.
Leucorrhea is initially less, with the progress of the disease, cancer tissue necrosis, infection, resulting in a large number of rice like odor leucorrhea.Patients with advanced stage disease involves the basin wall, nerve, can appear the lumbosacral, lower abdominal or sciatica.
Prolonged or heavy bleeding, anemia, cachexia may occur; invading the bladder can appear frequent urination, dysuria, invading the rectum may have diarrhea, acute symptoms after heavy.Examination revealed cervical neoplasm.
In 4, the differential invasive hydatidiform mole and choriocarcinoma [B], the right is A. Lutein cyst for hydatidiform mole and B. The uterine specimen microscopy showed no villous structure, can only see clusters of trophoblast cells for C hydatidiform mole and choriocarcinoma with intrapulmonary metastases, and choriocarcinoma with intrapulmonary metastases D.
Both onset can be secondary to term birth or abortion after E. Mole Qing after an interval of more than half a year for choriocarcinoma []: answer analysis of hydatidiform mole and choriocarcinoma and main difference: the latter occur only in hydatidiform mole removal after six months, organization learning examination has the villous structure; in addition to occur in hydatidiform mole and choriocarcinoma after discharge, or secondary to abortion, preterm births, ectopic pregnancy, organization learning examination without villous structure.
About 5, hydatidiform mole and saying the wrong [C] A is most in hydatidiform mole removal within 6 months after the onset of B. The pathology is divided into I, II, III type three C. Pathologic type III better prognosis of D.

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