A woman with amenorrhoea has unilateral pelvic pain and spotting, a positive pregnancy test and an empty uterus on ultrasound. What is the most likely diagnosis?
Answer and explanation
Correct answer: B. Ectopic pregnancy
- Step 1: The picture of a positive pregnancy test with an empty uterus fits Ectopic pregnancy.
Answer
Ectopic pregnancy.
Why not the others: 'Threatened miscarriage': it gives painless bleeding with a viable intrauterine pregnancy. 'Ruptured corpus luteum cyst': it gives sudden pain with free fluid but an intrauterine pregnancy may be seen. 'Acute appendicitis': it gives migratory pain with fever and a negative pregnancy test.
Practise more Paediatric and obstetric cases.
Free questions with an explanation for every one, and full timed Kuwait Medical Licensing Examination (KMLE / KIMS) mock tests.
More Paediatric and obstetric cases questions
- A 3-year-old has fever, ear pain and a bulging red tympanic membrane. What is the most likely diagnosis?
- Which is the most appropriate initial treatment for Acute otitis media?
- Which investigation best confirms Croup?
- A 4-month-old has a runny nose, wheeze, crackles and difficulty feeding in winter. What is the most likely diagnosis?
- Which is the most appropriate initial treatment for Bronchiolitis?
- Which investigation best confirms Acute epiglottitis?