15 Ectopic Pregnancy MCQs Multiple Choice Questions for Medical Exam based on different scenarios
Sarah, a 28-year-old woman, presents with lower abdominal pain and vaginal bleeding. She is 6 weeks pregnant according to her last menstrual period. Which of the following is the most likely diagnosis?
a) Miscarriage
b) Ectopic pregnancy
c) Placenta previa
d) Uterine rupture
Answer: b) Ectopic pregnancy
Mark, a 35-year-old man, brings his partner Jane, a 32-year-old woman, to the emergency department with severe abdominal pain and vaginal bleeding. Jane is 8 weeks pregnant according to her last menstrual period. Mark reports that Jane has a history of pelvic inflammatory disease (PID). Which of the following is the most likely diagnosis?
a) Miscarriage
b) Ectopic pregnancy
c) Placenta previa
d) Uterine rupture
Answer: b) Ectopic pregnancy
Maria, a 24-year-old woman, presents with lower abdominal pain and vaginal bleeding. She is 10 weeks pregnant according to her last menstrual period. An ultrasound shows a gestational sac in the left fallopian tube. What is the most appropriate management?
a) Immediate surgery
b) Expectant management
c) Medical management with methotrexate
d) Repeat ultrasound in 1 week
Answer: a) Immediate surgery
John, a 29-year-old man, brings his partner Susan, a 26-year-old woman, to the emergency department with severe abdominal pain and vaginal bleeding. Susan is 5 weeks pregnant according to her last menstrual period. She has a history of infertility and underwent in vitro fertilization (IVF) to conceive. What is the most likely location of the pregnancy?
a) Uterus
b) Cervix
c) Ovary
d) Fallopian tube
Answer: d) Fallopian tube
Laura, a 31-year-old woman, presents with lower abdominal pain and vaginal bleeding. She is 7 weeks pregnant according to her last menstrual period. An ultrasound shows a gestational sac in the right fallopian tube. Laura has no significant medical history. What is the most appropriate management?
a) Immediate surgery
b) Expectant management
c) Medical management with methotrexate
d) Repeat ultrasound in 1 week
Answer: a) Immediate surgery
What is the most common site for ectopic pregnancy?
a) Ovaries
b) Cervix
c) Fallopian tubes
d) Uterus
Answer: c) Fallopian tubes
A 28-year-old woman presents to the emergency department with severe abdominal pain on her right side. She reports a positive pregnancy test 2 weeks ago. An ultrasound shows an empty uterus with fluid in the pelvis. What is the most likely diagnosis?
a) Miscarriage
b) Ectopic pregnancy
c) Ovarian cyst rupture
d) Appendicitis
Answer: b) Ectopic pregnancy
A 32-year-old woman with a history of ectopic pregnancy presents with vaginal bleeding and abdominal pain. She reports a positive pregnancy test 4 weeks ago. An ultrasound shows an adnexal mass and free fluid in the pelvis. What is the most likely diagnosis?
a) Recurrent ectopic pregnancy
b) Threatened miscarriage
c) Molar pregnancy
d) Gestational trophoblastic disease
Answer: a) Recurrent ectopic pregnancy
A 35-year-old woman presents to her gynecologist with a positive pregnancy test and no symptoms. She has a history of pelvic inflammatory disease and previous surgery for a ruptured appendix. What is the most appropriate initial management?
a) Observation
b) Methotrexate injection
c) Laparoscopic surgery
d) Hysteroscopy
Answer: c) Laparoscopic surgery
A 25-year-old woman presents with severe abdominal pain and collapse. She reports a positive pregnancy test 6 weeks ago. She has a history of a previous ectopic pregnancy. On examination, she is hypotensive and tachycardic. What is the most likely diagnosis?
a) Ruptured ovarian cyst
b) Acute appendicitis
c) Ruptured ectopic pregnancy
d) Gastrointestinal bleeding
Answer: c) Ruptured ectopic pregnancy
Sarah, a 32-year-old woman, presents to the emergency department with sudden severe lower abdominal pain and vaginal bleeding. Her last menstrual period was six weeks ago. On examination, she has tenderness in her right lower abdomen. What is the most likely diagnosis?
a) Appendicitis
b) Ovarian cyst rupture
c) Ectopic pregnancy
d) Urinary tract infection
Answer: c) Ectopic pregnancy
Lisa, a 28-year-old woman, visits her gynecologist complaining of persistent abdominal pain and missed period for the past eight weeks. On examination, her cervix appears closed, and she has a positive pregnancy test. An ultrasound shows an empty uterus with fluid in the pouch of Douglas. What is the most likely diagnosis?
a) Ovarian cyst rupture
b) Ectopic pregnancy
c) Miscarriage
d) Pelvic inflammatory disease
Answer: b) Ectopic pregnancy
Rachel, a 35-year-old woman, presents to the emergency department with left lower abdominal pain and shoulder tip pain. She has a history of a previous ectopic pregnancy and underwent tubal surgery. On examination, her blood pressure is 90/60 mmHg, and she appears pale and sweaty. What is the most likely diagnosis?
a) Appendicitis
b) Ectopic pregnancy rupture
c) Urinary tract infection
d) Ovarian cyst rupture
Answer: b) Ectopic pregnancy rupture
Emily, a 30-year-old woman, visits her healthcare provider with a positive pregnancy test. She has no significant medical history. An ultrasound reveals an intrauterine pregnancy with a gestational sac and fetal heartbeat. Which of the following is the most appropriate management?
a) Provide reassurance and schedule routine antenatal care
b) Prescribe antibiotics for a suspected urinary tract infection
c) Schedule a repeat ultrasound in two weeks
d) Perform serial serum beta-hCG measurements
Answer: a) Provide reassurance and schedule routine antenatal care
Jennifer, a 27-year-old woman, presents to the emergency department with severe lower abdominal pain and vaginal bleeding. Her last menstrual period was five weeks ago. On examination, she has diffuse abdominal tenderness and signs of hypovolemic shock. What is the most appropriate initial management?
a) Administer intravenous fluids and blood transfusion
b) Order an urgent pelvic ultrasound
c) Perform a digital rectal examination
d) Request a complete blood count and coagulation profile
Answer: a) Administer intravenous fluids and blood transfusion
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