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Ruptured ectopic pregnancy — RCPSC EM MCQ

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ModerateOB/GYN emergenciesRuptured ectopic pregnancyRCPSC EM

A 29-year-old at 8 weeks by dates has unilateral pelvic pain, shoulder-tip pain, syncope, BP 84/50, HR 132, positive pregnancy test, and free intraperitoneal fluid on bedside ultrasound. What is the most likely diagnosis?

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

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Correct answer: E — Ruptured ectopic pregnancy

Shock, early pregnancy, pelvic pain and free fluid are most consistent with ruptured ectopic pregnancy requiring urgent resuscitation and operative gynaecology involvement.

Reference: SOGC ectopic pregnancy guidance; emergency obstetric standards