A 29-year-old woman presents with lower abdominal pain and light vaginal bleeding at 7 weeks’ gestation. She has a positive pregnancy test and is haem...

Question

A 29-year-old woman presents with lower abdominal pain and light vaginal bleeding at 7 weeks’ gestation. She has a positive pregnancy test and is haemodynamically stable. There is cervical excitation on examination. What is the most appropriate next investigation?

Accepted Answer

Immediate transvaginal ultrasound scan and quantitative serum hCG

Answer

Serum progesterone only

Answer

Transabdominal ultrasound in 2 weeks

Answer

Reassure and review in the community

Answer

CT abdomen and pelvis with contrast

uk-plab-1 MCQ (SBA): Suspected ectopic pregnancy

A 29-year-old woman presents with lower abdominal pain and light vaginal bleeding at 7 weeks’ gestation. She has a positive pregnancy test and is haemodynamically stable. There is cervical excitation on examination. What is the most appropriate next investigation?