Q1. A 22-year-old female presents to the emergency room with abdominal pain, nausea and vaginal bleeding. Her symptoms started two hours ago and have continued to become worse. She is not sure if she is pregnant but her period is late. In the past she has been treated for pelvic inflammatory disease and urinary tract infections. She is on no medications and has no allergies. She has never had any surgery in the past and she has never used an IUD. Her vitals at triage are BP 78/56, P 140, RR 28, and T 98.5F. Which of the following features on a physical exam would not be indicative of a ruptured ectopic pregnancy?
a. Shoulder tip pain
b. Abdominal pain
c. Hypotension
d. Abdominal rigidity
e. Frank vaginal bleeding
f. Guarding
g. Rebound tenderness
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