Question

A 26-year-old woman presents with lower abdominal pain and light vaginal bleeding at 7 weeks' gestation by dates. Her serum hCG is positive. She is haemodynamically stable. What is the most appropriate immediate investigation to help exclude ectopic pregnancy?

Accepted Answer

Transvaginal pelvic ultrasound

Answer

Serum progesterone level only

Answer

Transabdominal ultrasound alone

Answer

Diagnostic laparoscopy in all cases

Answer

No investigation; review in 2 weeks

Practice question

A 26-year-old woman presents with lower abdominal pain and light vaginal bleeding at 7 weeks' gestation by dates. Her serum hCG is positive. She is haemodynamically stable. What is the most appropriate immediate investigation to help exclude ectopic pregnancy?