A 30-year-old woman presents with 6 weeks of lower abdominal pain and irregular vaginal bleeding. Her last menstrual period was 8 weeks ago. Urine pre...

Question

A 30-year-old woman presents with 6 weeks of lower abdominal pain and irregular vaginal bleeding. Her last menstrual period was 8 weeks ago. Urine pregnancy test is positive. She has mild right iliac fossa tenderness but is haemodynamically stable. What is the most important next step?

Accepted Answer

Arrange a transvaginal ultrasound scan urgently and refer to early pregnancy assessment unit

Answer

Reassure and review in 4 weeks

Answer

Start oral contraceptive pills to regulate her periods

Answer

Perform a dilatation and curettage immediately in A&E

Answer

Give Methotrexate without imaging

uk-plab-1 MCQ (SBA): Suspected ectopic pregnancy

A 30-year-old woman presents with 6 weeks of lower abdominal pain and irregular vaginal bleeding. Her last menstrual period was 8 weeks ago. Urine pregnancy test is positive. She has mild right iliac fossa tenderness but is haemodynamically stable. What is the most important next step?