1)      A49 years -old G4P4 presents to your clinic complaining of a 2 month history of leaking of urine every time she exercises.She has had burning with urine and some blood in her urine for the Past few days. Which of the following is the best next step in evaluation and management of this patient?

2)      A 19 years old patient present to your clinic with primary amenorrhea .She has normal breast and normal female hair development particularly pubic and axillary hair,but the uterus and vagina are absent.Diagnostic possibilities include which of the following?

3)      A29 years old woman returns to your clinic for evaluation of an abnormal Pap smear showed a squamous abnormality suggest of a high-grade Squamous intraepithelial lesion(HGSIL).Colposcopic directed biopsy is confirmed the presence of a cervical lesion consistent with sever Cervical dysplasia(cinIII).Which of the following human papilloma virus(HPV) types is the most often associated with this type of lesion?

4)      A 73-year-old woman presents to her GP with lethargy and malaise. Of note,she has recently been placed on clopidogrel for the treatment of unstable angina. Her routine blood tests show: haemoglobin 6.8 g/dl, mean corpuscularvolume (MCV) 68 fl, white cell count (WCC) 9.2 × 109/l, platelets 491 × 109/l;Na+ 136 mmol/l, K+ 3.9 mmol/l, urea 4.7 mmol/l, creatinine 88 mmol/l. No RDW result , your ddx is : 

5)      A 67-year-old woman is admitted to hospital with severe lumbar back pain associated with recurrent chest infections and general malaise. Investigations show: haemoglobin 3.9 g/dl, MCV 98 fl, WCC 1.9 × 109/l, platelets 27 × 109/l;Na+ 130 mmol/l, K+ 5.9 mmol/l, urea 24.4 mmol/l, creatinine 412 mmol/l; erythrocyte sedimentation rate (ESR) 122 mm/h; corrected Ca2+ 3.37 mmol/l. 

your differential diagnosis is :