![]() (D) Failure of functional ovarian cysts to regress after the release of an ovum (C) Endometrium growing outside the uterus (B) Endometrium growing into the myometrium (A) Benign monoclonal tumors arising from smooth muscle cells Which of the following is the most likely cause of the patient's symptoms? Physical examination discloses an enlarged, irregularly shaped uterus with nodularity. The patient is 163 cm (5 ft 4 in) tall and weighs 75 kg (165 lb) BMI is 28 kg/m 2. Her mother and sister underwent hysterectomy at the ages of 39 and 43 years, respectively, because of abnormal uterine bleeding. She has no other history of serious illness and takes no medications. She used an oral contraceptive from the age of 17 years to 40 years, but she discontinued use after she was diagnosed with deep venous thrombosis of the right lower extremity. Use of acetaminophen and ibuprofen has provided minimal relief. During the past year, menstrual periods have occurred at 21- to 28-day intervals and lasted 10 to 12 days with increasingly severe pain. Previously, menses occurred at regular 28-day intervals and lasted 3 days with minimal cramping. What to Expect Video : provides an in-depth look at Prometric’s enhanced safety protocols and what you can expect when you come to a Prometric test center during COVID-19, from check-in all the way through exam completion.A 42-year-old nulligravid woman comes to the office because of a 1-year history of increasingly irregular vaginal bleeding and menstrual cramps.Travel Notice Advisory : provides Prometric’s policy for test takers traveling to take their USMLE exam.Test Center Policies : provides a detailed look at our standard and social distancing policies and test center procedure modifications that you are expected to follow while at the test center.Site Updates List : captures any changes in program availability or occupancy restrictions at each test center, as well as reflects temporary closures due to inclement weather or other unforeseen circumstances.COVID-19 Updates : provides the most current information on Prometric's operation status and safety measures.COVID-19 Test-Taker FAQ : provides answers to frequently asked questions you might have about impacts to your exam.Our goal is to ensure you have current, accurate information to support your assessment needs.įor more information about taking your United States Medical Licensing Examination (USMLE), make sure to check out the following resources regarding site status, modified test center procedures, safety measures, FAQs, and candidate support (in alphabetical order). ![]() ![]() Please note that last minute cancellations due to unforeseen circumstances can occur, in which case you will receive a pre-communications letting you know your appointment has been cancelled, with a follow up email letting you know when it has been updated in the system so you can schedule via self-serve. When such a decision occurs in the future, Prometric will process the cancellation and send you a notification that your appointment has been cancelled, so you can schedule a new appointment. We will continue to review our social distancing requirements and make determinations on whether we can preserve future appointments or if they need to be cancelled due to our inability to test at specific locations, based on local and state guidelines. We will continue to review local & state guidelines to ensure centers are open and operational where permitted to do so. Prometric is hopeful that the COVID-19 situation in many markets continues to improve, providing more opportunities to support USMLE test takers. ![]()
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