A 29-year-old woman has 7 weeks of amenorrhea, vaginal spotting, and unilateral pelvic pain. Blood pressure is 108/68 mm Hg. Transvaginal ultrasound

Question

A 29-year-old woman has 7 weeks of amenorrhea, vaginal spotting, and unilateral pelvic pain. Blood pressure is 108/68 mm Hg. Transvaginal ultrasound shows no intrauterine pregnancy, and beta-hCG is 2,800 mIU/mL. Which of the following is the most likely diagnosis?

Accepted Answer

Ectopic pregnancy

Answer

Complete spontaneous abortion

Answer

Pelvic inflammatory disease

Answer

Ovarian torsion

Answer

Normal early intrauterine pregnancy

Ectopic pregnancy — USMLE Step 3 MCQ

A 29-year-old woman has 7 weeks of amenorrhea, vaginal spotting, and unilateral pelvic pain. Blood pressure is 108/68 mm Hg. Transvaginal ultrasound shows no intrauterine pregnancy, and beta-hCG is 2,800 mIU/mL. Which of the following is the most likely diagnosis?