skip to main content

Ectopic pregnancy — MCCQE Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePregnancyEctopic pregnancyMCCQE Part 1

A 29-year-old woman has 7 weeks of amenorrhoea, unilateral pelvic pain, light vaginal bleeding, dizziness, positive β-hCG and no intrauterine pregnancy on ultrasound. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Arrange urgent gynaecology assessment for suspected ectopic pregnancy

Arrange urgent gynaecology assessment for suspected ectopic pregnancy is the single best answer because the age, timing, examination findings and investigations in the vignette fit Ectopic pregnancy better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to SOGC ectopic pregnancy guidance, with attention to acuity, safety-netting and local provincial pathways.

Reference: SOGC ectopic pregnancy guidance