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Pregnancy of unknown location — DFSRH MCQ

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EasyReproductive HealthPregnancy of unknown locationDFSRH

A 24-year-old woman has a positive pregnancy test, 6 weeks since LMP, light vaginal bleeding and unilateral pelvic pain. She is haemodynamically stable. What is the most appropriate management?

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

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Correct answer: D — Urgent early pregnancy assessment to exclude ectopic pregnancy

Positive pregnancy test with pain and bleeding requires ectopic pregnancy exclusion. Routine booking is unsafe until location is clarified. The red-flag diagnosis in early pregnancy presentations is ectopic pregnancy.

Reference: FSRH Contraception After Pregnancy Guideline; NICE Abortion Care Guideline; NICE Antenatal Care; BNF