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MMLU / A 39-year-old woman, gravida 2, para 2, comes to the community-based health…

Problem

Answer published by the source. Consult the official source to check your work against its answer.

question

A 39-year-old woman, gravida 2, para 2, comes to the community-based health center because of a 6-month history of a copious, foul-smelling vaginal discharge. She also reports spotting that began 6 months ago and has progressed to heavy bleeding during the past 3 weeks. Medical history is significant for an abnormal Pap smear in her 20s; her most recent Pap smear was done 12 years ago during her second pregnancy, and she recalls the results as being normal. She takes no medications. The patient was married for 18 years; her husband died 4 years ago and had undergone vasectomy after the birth of their last child. The patient has not had any new sexual partners since her husband's death. BMI is 32 kg/m2 . Vital signs are temperature 37.2°C (99.0°F), pulse 90/min, respirations 14/min, and blood pressure 155/96 mm Hg. Speculum examination discloses normal vaginal mucosa. The cervix is friable with a 1-cm exophytic mass lateral to the cervical os at the nine o'clock position. Which of the following is the most critical factor in formulating a management plan for this patient?

choices

  1. Hypertension
  2. Obesity
  3. Patient age
  4. Stage of disease

subject

professional_medicine

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Source and history

task_id
21c6456e-0ad3-5942-beeb-6b9201bd3799
task_key
all--test--21c6456e-0ad3-5942-beeb-6b9201bd3799
task_revision_id
1
config / split
all / test

Official source

initial import