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Early pregnancy bleeding — DRCOG MCQ

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ModerateEarly PregnancyEarly pregnancy bleedingDRCOG

A 33-year-old woman at 9 weeks has one episode of light bleeding and mild cramps. She is haemodynamically stable, pregnancy test is positive and she has no shoulder-tip pain. No ultrasound is available in the GP surgery. What is the most appropriate investigation?

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

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Correct answer: C — Transvaginal ultrasound through an early pregnancy service

Pain or bleeding in early pregnancy requires assessment of pregnancy location and viability, usually with transvaginal ultrasound through an early pregnancy service. Cervical cytology does not answer the immediate clinical question. The pearl is that ectopic pregnancy remains possible until location is confirmed.

Reference: NICE NG126