A 26-year-old woman presents with 7 weeks of amenorrhoea and lower abdominal pain. A urine pregnancy test is positive. She has light vaginal spotting ...

Question

A 26-year-old woman presents with 7 weeks of amenorrhoea and lower abdominal pain. A urine pregnancy test is positive. She has light vaginal spotting and a blood pressure of 110/70 mm Hg. There is right adnexal tenderness on examination. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent transvaginal ultrasound and quantitative serum β-hCG

Answer

Reassure and review in 4 weeks as this is a normal early pregnancy

Answer

Order a serum CA-125 level

Answer

Schedule routine first-trimester ultrasound at 12 weeks

Answer

Start combined oral contraceptive pills

ca-mccqe1 MCQ (SBA): Ectopic pregnancy

A 26-year-old woman presents with 7 weeks of amenorrhoea and lower abdominal pain. A urine pregnancy test is positive. She has light vaginal spotting and a blood pressure of 110/70 mm Hg. There is right adnexal tenderness on examination. What is the most appropriate next step in management?