Question

A 32-year-old woman presents with amenorrhoea for 7 weeks, left iliac fossa pain, and light vaginal bleeding. A urinary pregnancy test is positive. She is haemodynamically stable but has marked cervical motion tenderness. What is the most appropriate next step?

Accepted Answer

Arrange an urgent transvaginal ultrasound at an early pregnancy assessment unit

Answer

Reassure and review with repeat pregnancy test in 2 weeks

Answer

Discharge with oral antibiotics for presumed pelvic inflammatory disease

Answer

Start Misoprostol for medical termination in primary care

Answer

Advise bed rest at home and avoid intercourse

Practice question

A 32-year-old woman presents with amenorrhoea for 7 weeks, left iliac fossa pain, and light vaginal bleeding. A urinary pregnancy test is positive. She is haemodynamically stable but has marked cervical motion tenderness. What is the most appropriate next step?