skip to main content

Early pregnancy haemorrhage — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePaediatric and Obstetric EmergenciesEarly pregnancy haemorrhageDipIMC

A 12-week pregnant woman has heavy vaginal bleeding and syncope at home. She is pale, pulse 126/min and systolic pressure 88 mmHg. What is the most appropriate immediate action?

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

Reveal the answer and explanation

Correct answer: B — Treat shock and transport urgently to emergency gynaecology care

Option B is correct because Early pregnancy haemorrhage with syncope and hypotension requires urgent resuscitation and hospital assessment. Option D is less appropriate because oxygen may be supportive, but it does not address the defining time-critical problem first; option C is less appropriate because vascular access is useful, but it should not delay the immediate priority. Option A is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option E is less appropriate because delay would increase clinical risk. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines; NICE Ectopic pregnancy and miscarriage