Ruptured ectopic pregnancy — DipIMC MCQ
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Correct answer: A — Urgent 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