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Positive pregnancy test after abortion — DRCOG MCQ

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ModerateEarly PregnancyPositive pregnancy test after abortionDRCOG

A 21-year-old woman attends 4 weeks after medical abortion because her home pregnancy test remains positive. Bleeding has settled and she feels well. She started a progestogen-only pill after the procedure. What is the most appropriate management?

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

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Correct answer: D — Arrange urgent pelvic ultrasound assessment

A persistent positive pregnancy test 4 weeks after medical abortion needs assessment for ongoing pregnancy, retained products or ectopic pregnancy, and the official DRCOG sample uses urgent pelvic ultrasound as the best answer. Stopping the pill is unnecessary and delays diagnosis. A positive test may persist for a short time, but at 4 weeks it should not simply be dismissed. Cervical cytology is unrelated.

Reference: RCOG DRCOG SBA sample; NICE NG126