114.A 23-year-old woman presents to the ED with RLQ pain for the last 1 to
2 days. The pain is associated with nausea, vomiting, diarrhea, anorexia, and a
fever of 100.9°F. She also reports dysuria. The patient returned 1 month ago
from a trip to Mexico. She is sexually active with one partner but does not use
contraception. She denies vaginal bleeding or discharge. Her last menstrual
period was approximately 1 month ago. She has a history of pyelonephritis.
Based on the principles of emergency medicine, what are the three priority
considerations in the diagnosis of this patient?
a. Perihepatitis, gastroenteritis, cystitis
b. Ectopic pregnancy, appendicitis, pyelonephritis
c. Pelvic inflammatory disease (PID), gastroenteritis, cystitis
d. Ectopic pregnancy, PID, menstrual cramps
e. Gastroenteritis, amebic dysentery, menstrual cramps
115.A 24-year-old woman presents to the ED after being sexually assaulted.
She is a college student with no past medical history. Her BP is 130/75 mm Hg,
HR is 91 beats per minute, temperature is 98.6°F, and RR is 16 breaths per
minute. On physical examination you observe vaginal trauma and scattered
bruising and abrasions. Which of the following medications should be
offered to the patient in this scenario?
a. Ceftriaxone, azithromycin, metronidazole, antiretrovirals, emergency contraception
b. Ceftriaxone, tetanus, metronidazole, antiretrovirals, emergency contraception
c. Ceftriaxone, azithromycin, tetanus, metronidazole, emergency contraception
d. Ceftriaxone, azithromycin, tetanus, antiretrovirals, emergency contraception
e. Ceftriaxone, azithromycin, tetanus, metronidazole, antiretrovirals, emergency
contraception
100 Emergency Medicine