A 28-year-old woman presents with 7 weeks of amenorrhoea, lower abdominal pain and vaginal spotting. She is haemodynamically stable. A urine pregnancy...

Question

A 28-year-old woman presents with 7 weeks of amenorrhoea, lower abdominal pain and vaginal spotting. She is haemodynamically stable. A urine pregnancy test is positive. What is the most appropriate next step in management?

Accepted Answer

Refer urgently to early pregnancy assessment unit for transvaginal ultrasound

Answer

Reassure and review in 2 weeks as threatened miscarriage

Answer

Arrange a routine dating ultrasound scan at 12 weeks

Answer

Start oral Progesterone support in the community

Answer

Discharge with advice to attend A&E if pain worsens

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

A 28-year-old woman presents with 7 weeks of amenorrhoea, lower abdominal pain and vaginal spotting. She is haemodynamically stable. A urine pregnancy test is positive. What is the most appropriate next step in management?