Question

A 32-year-old woman presents with lower abdominal pain and vaginal spotting. Urine pregnancy test is positive; she is haemodynamically stable. What is the most appropriate next investigation?

Accepted Answer

Transvaginal ultrasound in an Early Pregnancy Assessment Unit

Answer

Arrange routine community scan in 2 weeks

Answer

Serum progesterone level only

Answer

Immediate methotrexate

Answer

Discharge with reassurance

Practice question

A 32-year-old woman presents with lower abdominal pain and vaginal spotting. Urine pregnancy test is positive; she is haemodynamically stable. What is the most appropriate next investigation?