Question

A 32-year-old woman presents with 6 weeks of amenorrhoea, lower abdominal pain and light vaginal bleeding. She has a positive urine pregnancy test and left iliac fossa tenderness with cervical excitation on examination. Blood pressure is 110/70 mmHg and pulse 96 bpm. What is the most appropriate next step?

Accepted Answer

Arrange urgent transvaginal ultrasound via the early pregnancy assessment unit

Answer

Reassure and review in 2 weeks

Answer

Start oral Misoprostol for medical termination

Answer

Advise that this is a normal implantation bleed

Answer

Prescribe oral antibiotics for pelvic inflammatory disease without further tests

Practice question