Early pregnancy pain ectopic risk — DFSRH MCQ
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Correct answer: B — Urgent transvaginal ultrasound and quantitative hCG pathway
Previous ectopic pregnancy plus pain in early pregnancy requires urgent ectopic pregnancy assessment with ultrasound and serial hCG as needed. Stable observations do not exclude ectopic pregnancy. Delaying to routine booking could miss a potentially serious diagnosis.
Reference: NICE Ectopic Pregnancy and Miscarriage Guideline