USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1

GESTATIONAL TROPHOBLASTIC


NEOPLASIA


A   24-year-old Filipino    nurse   is  14  weeks   pregnant    by  dates.  She complains
of vaginal bleeding as well as severe nausea and vomiting. Her uterus
extends to her umbilicus but no fetal heart tones can be heard. Her blood
pressure is 150/95 mm Hg. A dipstick urine shows 2+ proteinuria.
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