The Daily PANCE 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: A. cervicitis. B. pelvic inflammatory disease. C. dysfunctional uterine bleeding. D. an ectopic pregnancy. E. vaginitis. Answer:D, an 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. Help Support The Physician Assistant Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase byclicking here... it's a free way for you to help support the cause! Justclick over to Amazon. Then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend theseReview Books. The Daily PANCE 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: 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 BlueprintEctopic pregnancy is part of the NCCPA Content Blueprint Reproductive System (8%). Learn more about complicated pregnancy (pearls) and ectopic pregnancy at Smarty PANCE ectopic pregnancy. Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. Help support The PA Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase by clicking here... it's a free way for you to help support the cause! Just click over to Amazon.com then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend thesereview books Stephen, Just wanted to let you know that I am enjoying your site very much and believe it is helping more than any other site Ive used thus-far (I have done HippoPA, not bad, and Brian Wallaces site). Will study some more, dont feel ready yet! Im an older PA, practiced for 18 years, have done the at home board tests the last two. I am nervous about taking the test center exam! Thanks again for your site, and the best to you! Rebecca Lynch, PA-C I just took my NCCPA PANRE test four weeks ago and PASSED! So just a quick thank you for developing such a complete and user friendly NCCPA PANCE and PANRE preparation program. As a Physician Assistant family man, and between work and daily responsibilities there is not much time to prep for the NCCPA exam, however this program was all I needed to help me succeed on my test. I would definitely endorse this program to any PA who needs to prepare for their upcoming NCCPA boards. Keep up the good work! David Aponte, PA-C Dear Stephen, I just want to take a moment and let you know how much I appreciate your website and the resources that you have made available to us. As I started preparing for my PANRE I realized it was going to take more than just reading the NCCPA blueprint topic areas. For the last 6 years I focused on being a mom and I chose to push the pause button on my PA career. I am thrilled to say that I passed my PANRE and this was possible because of your question style reviews and testing. This has been my favorite method to prepare for recertification. Ive taken the PANRE 3 times in the last 20 years and this time around I would not have been ready without thePAlife. Thank you for creating a great site thats affordable!! Aida Scanlon PA-C I love your site and think that it is the most enjoyable studying resource that I have use so far! David Ortega Endahl, PA-C I graduated from PA school in May and failed my first attempt at the PANCE in July. I was not nearly as prepared as I should have been and in the following 90 days, I developed into a completely different PA. I listened to all of your podcasts, took every practice test (at least once), and got both the daily question emails and the daily eponym emails. My second attempt at the PANCE was earlier in October and I went into it with so much more confidence than I had after receiving the news that I failed the first time. I really appreciate all the work you do to make studying for the PANCE fun well at least tolerable and I will definitely recommend your program to next years graduating class. Thank you! thank you! thank you! Christopher M., PA-C Firstly, thank you. I take my boards tomorrow and was a mess until   I reviewed your exams.  The humor was great and really helped to ease my tension.  Keep up the great work! Marilyn OteroPA-C Thanks for creating the PA life. It has been a great resource for me as I review for my PANRE.   I am recommending the website to my PA staff. Cheriee Slobodsky, MPH, PA-C I knocked the PANRE out of the park in May. Your website was so helpful!! Thanks for keeping it affordable.you smoke the in-person review courses! Morgan Miller, PA-C I want to thank you for everything! I purchased the 3 month membership prior to my PANCE. I just found out I passed! The setup and links to Brian Wallaces podcasts were perfect! Garrett Wilson, PA-C Im a PA student graduating in December and taking my PANCE about 4 weeks from now. Your website has become one of my favorite study tools, so thanks for all your work in putting that together! Caitlin Anderson, PA-S