CTAS 1. A 29-year-old has syncope, lower abdominal pain, and vaginal spotting. BP is 78/44, HR 138, β-hCG is positive, and bedside ultrasound shows

Question

CTAS 1. A 29-year-old has syncope, lower abdominal pain, and vaginal spotting. BP is 78/44, HR 138, β-hCG is positive, and bedside ultrasound shows free intraperitoneal fluid with no intrauterine pregnancy. She has shoulder-tip pain. What is the most likely diagnosis?

Accepted Answer

Ruptured ectopic pregnancy

Answer

Degenerating fibroid

Answer

Ovarian hyperstimulation

Answer

Threatened miscarriage

Answer

Acute cystitis

Ruptured ectopic pregnancy — RCPSC EM MCQ

CTAS 1. A 29-year-old has syncope, lower abdominal pain, and vaginal spotting. BP is 78/44, HR 138, β-hCG is positive, and bedside ultrasound shows free intraperitoneal fluid with no intrauterine pregnancy. She has shoulder-tip pain. What is the most likely diagnosis?