A 32-year-old woman presents with lower abdominal pain and vaginal spotting. Her last menstrual period was 7 weeks ago. A urine pregnancy test is posi...

Question

A 32-year-old woman presents with lower abdominal pain and vaginal spotting. Her last menstrual period was 7 weeks ago. A urine pregnancy test is positive. She is haemodynamically stable but has right iliac fossa tenderness. What is the most appropriate next step in management?

Accepted Answer

Refer urgently to early pregnancy assessment for transvaginal ultrasound and serum hCG

Answer

Reassure and review in 2 weeks

Answer

Arrange a routine community midwife booking appointment

Answer

Start Misoprostol to induce miscarriage

Answer

Send home with advice to do another pregnancy test in 1 week

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

A 32-year-old woman presents with lower abdominal pain and vaginal spotting. Her last menstrual period was 7 weeks ago. A urine pregnancy test is positive. She is haemodynamically stable but has right iliac fossa tenderness. What is the most appropriate next step in management?