A 27-year-old woman has sudden severe lower abdominal pain, syncope, and shoulder pain. She is 7 weeks from her last menstrual period. Blood pressure

Question

A 27-year-old woman has sudden severe lower abdominal pain, syncope, and shoulder pain. She is 7 weeks from her last menstrual period. Blood pressure is 78/46 mm Hg, pregnancy test is positive, and FAST shows free fluid. Which of the following is the most likely diagnosis?

Accepted Answer

Ruptured ectopic pregnancy

Answer

Ovarian hyperstimulation syndrome

Answer

Mittelschmerz

Answer

Acute cystitis

Answer

Threatened abortion

Ruptured ectopic pregnancy — USMLE Step 3 MCQ

A 27-year-old woman has sudden severe lower abdominal pain, syncope, and shoulder pain. She is 7 weeks from her last menstrual period. Blood pressure is 78/46 mm Hg, pregnancy test is positive, and FAST shows free fluid. Which of the following is the most likely diagnosis?