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Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 67 Topic 7 Discussion

Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 67 Topic 7 Discussion

MCCQE Exam Topic 7 Question 67 Discussion:
Question #: 67
Topic #: 7

A mother brings her 13-year-old daughter to the office. The girl has had intermittent lower abdominal pain, constipation, and difficulty voiding for 3 months. She says that she is not sexually active. She looks well. She has reached age-specific developmental milestones, and her vital signs are within normal range. On abdominal examination, she is found to have a palpable suprapubic mass that persists after voiding. The girl says that her older sister started having menstrual periods at this age. The patient is surprised that hers have not started. Which one of the following is the best next step?


A.

Examination of external genitalia.


B.

Abdominal radiography.


C.

Measurement of serum human chorionic gonadotropin.


D.

Pelvic ultrasonography.


E.

Urinalysis.


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