Practice Quiz

NREMT Paramedic

Category - Medical

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Your patient tells you she has a prior medical history of pelvic inflammatory disease and her last menstrual period was 8 weeks ago. She thinks she’s pregnant, but now she’s having sharp lower left abdominal pain. Which of the following conditions should be on your list of suspected causes?
  1. PID
  2. Ectopic pregnancy
  3. Imminent delivery
  4. Appendicitis
Explanation
Answer: B - Ectopic pregnancy can result from scarring after pelvic inflammatory disease. This is not the only cause but does present a risk factor. The pain is on the opposite side from classic appendicitis pain, and 8 weeks is not long enough for a delivery. You should maintain a high index of suspicion for ectopic pregnancy and treat this patient accordingly. If the size of the pregnancy exceeds the size of the fallopian tube, the patient risks rupture and hemorrhage.
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