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Ruptured ectopic pregnancy — RCPSC EM MCQ

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HardOB/GYN emergenciesRuptured ectopic pregnancyRCPSC EM

A 32-year-old with 7 weeks of amenorrhoea has syncope and lower abdominal pain. BP is 78/46 mmHg, HR 132/min, beta-hCG is positive, and POCUS shows free intraperitoneal fluid with no intrauterine pregnancy. What is the most appropriate initial management?

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Correct answer: C — Activate massive haemorrhage resuscitation and urgent gynaecologic surgery

Activate massive haemorrhage resuscitation and urgent gynaecologic surgery is correct: the clues indicate Ruptured ectopic pregnancy and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian obstetric emergency practice