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Ruptured ectopic pregnancy — DRCOG MCQ

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HardEarly PregnancyRuptured ectopic pregnancyDRCOG

A 35-year-old woman with a positive pregnancy test has severe unilateral pelvic pain and collapse. She is pale, clammy and has a systolic blood pressure of 82 mmHg. There is abdominal guarding. What is the most appropriate management?

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

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Correct answer: D — Call emergency ambulance for immediate hospital transfer

This is a suspected ruptured ectopic pregnancy with shock and peritonism, requiring emergency transfer. Outpatient ultrasound or next-day review would be unsafe. Routine antenatal pathways are inappropriate until ectopic pregnancy is excluded. Primary-care cervical screening must not delay resuscitation and surgical assessment.

Reference: NICE NG126