Abdominal pain and amenorrhoea: suspected ectopic pregnancy
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Educational simulation. Not for real patient care and not a substitute for supervised training. Always follow local protocols.
What you will practise
- Recognise that any woman of reproductive age with abdominal pain needs a pregnancy test.
- Assess haemodynamic stability and prioritise resuscitation in suspected ruptured ectopic pregnancy.
- Interpret ultrasound findings in a pregnancy of unknown location and suspected ectopic pregnancy.
- Differentiate management of the unstable patient (urgent surgery) from the stable patient (medical, surgical or expectant options per local criteria).
- Explain safety-netting, follow-up and Rhesus considerations after ectopic pregnancy care.
Related practice questions
- Methotrexate toxicity can be reduced by giving leucovorin (folinic acid). Why does this work?
- A 26-year-old woman, 7 weeks amenorrhoeic, has severe left iliac fossa pain and vaginal spotting. Her blood pressure is 80/50 mmHg, pulse 130/min, the pregnancy test is positive, and ultrasound shows free fluid in the pouch of Douglas and an empty uterus. What is the most appropriate management?
- A man with acute gastrointestinal bleeding has a pulse of 124/min, blood pressure 85/55 mmHg and cool peripheries. Which initial intravenous fluid is most appropriate while blood is being arranged?