All right, welcome to episode 641 of the Divine Intervention Podcasts.

In today's podcast, we're going to be continuing the Free 86 series for step two and step

three.

Again, these are specs questions.

And if you're downloading this podcast or you're listening to this podcast, if you go on my

website, I include a link to the PDF that contains these questions. These questions

are extremely good. Think of it as another free 120, but in this case it's not 120 questions.

It's more like 86. So this is series three. We're going to pick up from question number 21.

All right. So a 29-year-old woman comes to the emergency department because she has had increasingly severe lower abdominal pain and nausea for the past two days.

She is sexually active and does not use any contraception.

Her last menstrual period ended six days ago.

Temperature is 101 degrees Fahrenheit.

Physical examination discloses abdominal tenderness in the lower quadrants bilaterally, with rebound and guarding.

Pelvic examination discloses lucorea at the cervical ores and tenderness of the uterus to palpation.

The adnexel mass, the adnexel areas are tender, but no

masses are palpable. Which of the following is the most appropriate diagnostic study? Option A,

cervical culture. Option B, kudosynthesis. Option C. Laperoscopy. Option D. Serum beta Hacig

concentration. Option E. Ultrasonography of the pelvis so we need to

ask ourselves what's going on here right this person has lower abdominal pain sexually active

doesn't use contraception right and then you know she has rebound guarding right look where you're at the cervical loss so? And then, you know, she has rebound guarding, right? Look, we're at the

cervical loss. So you're seeing like, you know, inflammatory discharge and whatnot, right? This

sounds a lot like PID, right? This person probably has PID, right? This person probably has PID, right? Bilateral

...