A 30-year-old woman presents to the GP with a 6-week history of amenorrhoea and light vaginal bleeding. She has right iliac fossa pain. A urine pregna...

Question

A 30-year-old woman presents to the GP with a 6-week history of amenorrhoea and light vaginal bleeding. She has right iliac fossa pain. A urine pregnancy test is positive. Her observations are stable. Which is the single most appropriate next step?

Accepted Answer

Refer urgently to the early pregnancy assessment unit for same-day assessment

Answer

Arrange a routine GP ultrasound within 2 weeks

Answer

Request serum beta-hCG and repeat in 48 hours

Answer

Prescribe analgesia and advise to attend A&E if pain worsens

Answer

Reassure that this is likely implantation bleeding

uk-drcog MCQ (SBA): Ectopic Pregnancy

A 30-year-old woman presents to the GP with a 6-week history of amenorrhoea and light vaginal bleeding. She has right iliac fossa pain. A urine pregnancy test is positive. Her observations are stable. Which is the single most appropriate next step?