Ectopic pregnancy — DRCOG MCQ

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ModerateEarly PregnancyEctopic pregnancyDRCOG

A 37-year-old woman at 6 weeks has pelvic pain, vaginal bleeding, cervical excitation and an empty uterus on scan. What is the most likely diagnosis?

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Correct answer: E — Ectopic pregnancy

Ectopic pregnancy is the best answer because the vignette is testing Ectopic pregnancy and the recommended approach is consistent with NICE NG126. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Placental abruption; Physiological neonatal jaundice; Primary dysmenorrhoea; Endometrial cancer would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG126