Question

A 27-year-old woman presents with 7 weeks of amenorrhoea and vaginal spotting. She has mild lower abdominal pain but is haemodynamically stable. A urine pregnancy test is positive. What is the most important immediate investigation to exclude ectopic pregnancy?

Accepted Answer

Quantitative serum β-hCG and transvaginal ultrasound

Answer

Serum progesterone level

Answer

Transabdominal ultrasound only

Answer

MRI pelvis

Answer

Diagnostic laparoscopy in all women with pain

Practice question

A 27-year-old woman presents with 7 weeks of amenorrhoea and vaginal spotting. She has mild lower abdominal pain but is haemodynamically stable. A urine pregnancy test is positive. What is the most important immediate investigation to exclude ectopic pregnancy?