1. What should be included in the differential diagnosis for a premenopausal patient presenting with a tender, painful uterus and fever, with the pelvic ultrasound images shown in Figures A to C? (Choose all that apply.)

A. Menses

B. Endometritis

C. Endometrial cancer

D. Retained products of conception

2. Which of the following is not a salient finding in the patient shown in Figure D, who is postpartum after premature rupture of the membranes with ensuing chorioamnionitis 1 week after emergency cesarean section? Her blood cultures grew Escherichia coli.

A. Small amounts of hemoperitoneum

B. Uterine dehiscence

C. Gas foci within endometrial cavity

D. Bowel obstruction

3. Which mode of delivery carries the highest risk of postpartum uterine infection?

A. Vaginal delivery without instrumentation

B. Vaginal delivery with forceps

C. Cesarean section

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