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The state in which the inside of each heart cell is negatively charged and the outside is positively charged is:

The conduction of the electrical impulse through both ventricles appears on an ECG tracing as the:

The U wave, which follows the T wave in an ECG tracing, represents:

Which of the following is the most common location of a deep venous thrombosis after gynecological surgery?

The ureter lies in the retroperitoneum.

Where does the ovarian artery originate?

Which form of female surgical sterilization has the highest failure rate?

A 24 year old presents to the office with a painful lump on her right vulva. She can barely walk because of the pain. She is currently sexually active and has had a total of 6 partners in life. She is otherwise healthy. What do you expect to see on exam?

A 70 year-old woman, gravida 2, para 2, presents with a worsening bulge in her vagina over the last several months. The bulging is less noticeable in the morning, but becomes more pronounced with accompanying low back pain throughout the day. Her medical history is significant for hypertension and diet controlled diabetes. She has never had surgery. She delivered two term infants vaginally, with the largest weighing 8 pounds 10 ounces. On examination, she is 6’3” and 106 pounds. She has a soft mass protruding through the vagina with bearing down. What is the most definitive  treatment for her condition?

A 17 year-old adolescent presents with a one day history of abdominal pain. Her pain is severe, intermittent and localizes to the right side. She has not eaten in nearly one day. Her last menstrual cycle was about 3 weeks ago. On examination, her temperature is 98.7F and her pulse is 92 beats per minute. Her abdominal examination show rebound, guarding on the right side. Bimanual examination demonstrates moderate tenderness in the right lower quadrant. A  pelvic ultrasonogram show a  6cm right adnexal mass with diminished flow. Her urine pregnancy test is negative. What is her most likely diagnosis?