Pregnancy of unknown location — DRCOG MCQ

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ModerateEarly PregnancyPregnancy of unknown locationDRCOG

A 25-year-old woman has positive pregnancy test, pain and no intrauterine pregnancy on transvaginal ultrasound. What is the most appropriate management?

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Correct answer: A — Arrange serial serum hCG and early pregnancy unit follow-up

Arrange serial serum hCG and early pregnancy unit follow-up is the best answer because the vignette is testing Pregnancy of unknown location 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; Advise rest and hydration at home; Prescribe oral metronidazole after self-swab; Repeat the pregnancy test in one week 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