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Ectopic pregnancy risk in PUL — DRCOG MCQ

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HardEarly PregnancyEctopic pregnancy risk in PULDRCOG

A 32-year-old woman has a pregnancy of unknown location. Her serum hCG rises from 950 to 1280 IU/L over 48 hours. She has mild unilateral pain but is stable and ultrasound remains inconclusive. What is the most likely diagnosis?

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Correct answer: B — Possible ectopic pregnancy

A suboptimal hCG rise in pregnancy of unknown location with unilateral pain raises concern for ectopic pregnancy, although it is not diagnostic alone. A viable intrauterine pregnancy cannot be confirmed without ultrasound evidence. Follow-up should continue until location or resolution is established. Molar pregnancy is not confirmed by this hCG pattern alone.

Reference: NICE NG126