A 26-year-old woman presents to her primary care physician for 5 days of increasing pelvic pain. She says that the pain has been present for the last 2 months; however, it has become increasingly severe recently. She also says that the pain has been accompanied by unusually heavy menstrual periods in the last few months. Physical exam reveals a mass in the right adnexa, and ultrasonography reveals a 9 cm right ovarian mass. If this mass is surgically removed, which of the following structures must be diligently protected?
AExternal iliac artery
BUreter
COvarian ligament
DCardinal ligament of the uterus
EInternal iliac artery
During a surgical procedure to repair an abdominal aortic aneurysm, the surgeon must be careful to avoid injury to which of the following arterial structures that originates near the level of the renal vessels?
ALeft renal artery
BCeliac trunk
CRight renal artery
DSuperior mesenteric artery
A 28-year-old woman presents to an outpatient clinic for a routine gynecologic examination. She is concerned about some swelling on the right side of her vagina. She senses that the right side is larger than the left and complains that sometimes that area itches and there is a dull ache. She denies any recent travel or history of trauma. She mentions that she is sexually active in a monogamous relationship with her husband; they use condoms inconsistently. On physical examination her vital signs are normal. Examination of the pelvic area reveals a soft, non-tender, mobile mass that measures approximately 2 cm in the greatest dimension at the 8 o’clock position on the right side of the vulva, just below the vaginal wall. Which of the following is the most likely diagnosis?
ASquamous cell carcinoma
BVulvar hematoma
CMolluscum contagiosum
DBartholin duct cyst
ECondylomata acuminata
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