A 28-year-old woman presents with sudden onset severe left lower quadrant abdominal pain and light vaginal bleeding. Her last menstrual period was 7 w...

Question

A 28-year-old woman presents with sudden onset severe left lower quadrant abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago. She has had unprotected intercourse and has not used contraception. She is haemodynamically stable. A urine pregnancy test is positive. What is the most appropriate next investigation?

Accepted Answer

Transvaginal pelvic ultrasound

Answer

Transabdominal pelvic ultrasound

Answer

Serum progesterone level only

Answer

CT abdomen and pelvis with contrast

Answer

No further investigation; treat as miscarriage

au-amc MCQ (SBA): Ectopic pregnancy