Ruptured ectopic pregnancy — DRCOG MCQ

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ModerateEarly PregnancyRuptured ectopic pregnancyDRCOG

A 25-year-old woman at 7 weeks has severe unilateral pain, syncope and shoulder-tip pain. When should this patient be referred?

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Correct answer: C — Refer immediately to emergency gynaecology care

Refer immediately to emergency gynaecology care is the best answer because the vignette is testing Ruptured ectopic pregnancy and the recommended approach is consistent with NICE NG126. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer routinely to gynaecology; Refer to specialist contraception services; Refer to sexual assault referral services; Refer early for specialist fertility assessment would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: NICE NG126