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Sterilisation and ectopic risk — DFSRH MCQ

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HardSterilisationSterilisation and ectopic riskDFSRH

A 36-year-old had tubal occlusion 4 years ago and presents with 7 weeks' amenorrhoea, light vaginal bleeding and right iliac fossa pain. Pregnancy test is positive and pulse is 98/min. What is the most appropriate investigation?

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Correct answer: C — Urgent early pregnancy assessment for ectopic pregnancy

Pregnancy after sterilisation is uncommon but has an increased relative risk of being ectopic, particularly with pain and bleeding. Urgent early pregnancy assessment is required. Reassurance or delayed testing would be unsafe.

Reference: NICE Ectopic Pregnancy Guideline; FSRH Sterilisation Guidance