The Daily PANCE and PANRE Question 56

A 22-year-old female complains of vaginal bleeding for 24 hours. Her last menstrual cycle was seven weeks ago She has had an IUD, but currently uses no form of contraception. Her HCG is positive. She denies fever, chills and vaginal discharge, prior to the onset of the vaginal bleeding. You order a pelvic ultrasound to rule out:

  1. cervicitis
  2. pelvic inflammatory disease
  3. dysfunctional uterine bleeding
  4. an ectopic pregnancy
  5. vaginitis

Answer: D

Ectopic pregnancy

Any patient with an IUD, or with a tubal ligation, or known obstruction of a tube, who has a positive HCG needs an ultrasound to r/o ectopic pregnancy

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