Suspected molar pregnancy — DRCOG MCQ

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ModerateEarly PregnancySuspected molar pregnancyDRCOG

A 19-year-old woman at 9 weeks has heavy bleeding, hyperemesis and ultrasound with cystic placental tissue. What is the most appropriate investigation?

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Correct answer: A — Urgent ultrasound and hCG assessment through early pregnancy services

Urgent ultrasound and hCG assessment through early pregnancy services is the best answer because the vignette is testing Suspected molar pregnancy and the recommended approach is consistent with RCOG Green-top Guideline 38. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, Liver function tests and bile acids; Speculum examination; Full blood count; High vaginal swab would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: RCOG Green-top Guideline 38