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A32-year-old woman presents for a routine gynecological exam. she has been married for 5 years and plans to start a family with her husband in the near future. her first menstrual period was at the age of 11. she is in a 28/4 cycle with no irregularities or discomfort. at age 18, she had an induced abortion and has used oral contraceptives since then. in the recto-vaginal exam, you palpate a mass on the left side. an ultrasound confirms a complex cystic tumor 6cm in diameter on the left ovary. there is no free fluid in the pelvis. there is no family history of any malignant tumors. what is your therapeutic approach?

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Which of the following best reflects what we know about how the flu virus moves between species? a) the flu virus in a pig is mutated and replicated in alternate arrangements so that humans who eat the pig products can be infected.b) a flu virus from a human epidemic or pandemic infects birds; the birds replicate the virus differently and then pass it back to humans.c) an influenza virus gains new sequences of dna from another virus, such as a herpesvirus; this enables it to be transmitted to a human host.d) an animal such as a pig is infected with more than one virus, genetic recombination occurs, the new virus mutates, the virus is passed to a new species such as a bird, and the virus mutates again and can now be transmitted to humans.