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:
- cervicitis
- pelvic inflammatory disease
- dysfunctional uterine bleeding
- an ectopic pregnancy
- 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
Know Your Content Blueprint
Ectopic pregnancy is part of the NCCPA Content Blueprint Reproductive System (8%)
Review Topics: complicated pregnancy (pearls) and ectopic pregnancy