Question

A 22-year-old sexually active woman has lower abdominal pain and positive pregnancy test. TVUS shows no intrauterine pregnancy; β-hCG 1800 IU/L. She is stable. What is the likely diagnosis and next step?

Accepted Answer

Ectopic pregnancy; urgent gynaecology assessment and repeat β-hCG/scan

Answer

Miscarriage; discharge

Answer

Normal early pregnancy; reassure

Answer

Ovarian torsion; analgesia

Answer

PID; oral antibiotics

Practice question

A 22-year-old sexually active woman has lower abdominal pain and positive pregnancy test. TVUS shows no intrauterine pregnancy; β-hCG 1800 IU/L. She is stable. What is the likely diagnosis and next step?