Question

A 30-year-old woman presents with lower abdominal pain and abnormal vaginal bleeding. She has a positive pregnancy test. Ectopic pregnancy is suspected. According to NICE, what is the most appropriate initial diagnostic step?

Accepted Answer

Transvaginal ultrasound

Answer

Immediate laparotomy

Answer

Serial serum beta-hCG measurements without imaging

Answer

Transabdominal ultrasound

Answer

MRI of the pelvis

Practice question

A 30-year-old woman presents with lower abdominal pain and abnormal vaginal bleeding. She has a positive pregnancy test. Ectopic pregnancy is suspected. According to NICE, what is the most appropriate initial diagnostic step?