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Ruptured ectopic pregnancy — DipIMC MCQ

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ModerateMedical EmergenciesRuptured ectopic pregnancyDipIMC

A 31-year-old woman has sudden severe unilateral pelvic pain and syncope. She is pale, pulse 126, blood pressure 88/56 and says her period is two weeks late. What is the most appropriate transport decision?

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

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Correct answer: AUrgent transfer with pre-alert for suspected ruptured ectopic pregnancy

Syncope, shock and pelvic pain with possible early pregnancy are concerning for ruptured ectopic pregnancy. This is a time-critical haemorrhagic emergency requiring ED and gynaecology capability. Analgesic response does not exclude bleeding. The pearl is that pregnancy status is clinically relevant in any reproductive-age patient with collapse or abdominal pain.

Reference: JRCALC Guidelines 2025; NICE Ectopic Pregnancy and Miscarriage NG126