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Ectopic pregnancy — DRCOG MCQ

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ModerateEarly PregnancyEctopic pregnancyDRCOG

A 31-year-old woman at 7 weeks has unilateral pelvic pain, spotting, shoulder-tip pain and dizziness. What is the most appropriate management?

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

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Correct answer: B — Arrange emergency gynaecology assessment

Arrange emergency gynaecology assessment is the best answer because the vignette is testing Ectopic pregnancy and the recommended approach is consistent with NICE NG126. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Arrange routine GP review after the next period; Refer for routine gynaecology review; Advise rest and hydration at home; Arrange routine review in six weeks would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE NG126