0 of 4 Questions completed
Questions:
You have already completed the exam before. Hence you can not start it again.
Exam is loading…
You must sign in or sign up to start the exam.
You must first complete the following:
0 of 4 Questions answered correctly
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
Enter your course reflection:
Enter your course outcomes:
A 28-year-old woman arrives in ED with lower abdominal pain and PV bleeding. She is 8 weeks pregnant. This is her first pregnancy. Initial obs PR 95, BP 110/80, RR 24. She is anxious and distressed.
The following are risk factors for ectopic pregnancy (select all that apply):
During the history the patient states she has had chlamydia infection in the past. This raises your suspicion of ectopic pregnancy as a diagnosis. She confirms that she has felt a pain in her right shoulder on further questioning.
What is the next appropriate course of action?
A 32-year-old lady arrives in ED. She has PV spotting and LMP was approx. 5 weeks ago. She has been trying to conceive and confirmed by home pregnancy test that she is pregnant a few days previous to attendance. Her obs are PR 88, BP 124/86 RR 16. She appears well and complains of no abdominal discomfort. Urine BHCG is positive. She requests a USS.
What is the appropriate management in the ED?
A 28-year-old 10 week pregnant patient arrives by ambulance with abdominal pain, PV bleeding obs are PR 100, 85/50, RR24. She is offloaded into resus and next to be seen. Iv access was obtained by paramedics. An emergency call from resus goes out, you are first to arrive. On transfer from ambulance trolley her PR dropped to 28, her BP 60/40, radial pulse not palpable, and patient has become unresponsive.
What is next appropriate action: