Question

A 29-year-old woman presents with lower abdominal pain and a positive pregnancy test. LMP 6 weeks ago. She has spotting and pain lateralised to the right. What is the next step?

Accepted Answer

Immediate referral to early pregnancy unit for TVUS

Answer

Reassure and review in 1 week

Answer

Perform urine dip and treat UTI

Answer

Start oral progesterone

Answer

Give methotrexate immediately

Practice question

A 29-year-old woman presents with lower abdominal pain and a positive pregnancy test. LMP 6 weeks ago. She has spotting and pain lateralised to the right. What is the next step?