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1. A 20-year-old woman presents to the early pregnancy assessment unit with abdominal pain. An ultrasound scan reveals left tubal ectopic pregnancy of 3.5 × 3 cm. She undergoes laparoscopy and the findings are as follows: Left tubal unruptured ectopic pregnancy of 3 cm with normal right fallopian tube. Minimal endometriosis in the pouch of Douglas with extensive bowel adhesions on the right side due to previous appendisectomy. Uterus is bulky but normal. How should she be managed?CorrectIncorrect
2. A 29-year-old, who is at 6 weeks’ gestation, is diagnosed to have a right tubal ectopic pregnancy by transvaginal pelvic ultrasound. Which one of the following factors would enable systematic methotrexate to be offered as a medical treatment option for the ectopic pregnancy?CorrectIncorrect
3.A 29-year-old, who is at 6 weeks’ gestation, presents with slight vaginal spotting. Transvaginal pelvic ultrasound shows no evidence of any intrauterine or extrauterine pregnancy. A serum βhCG is measured at initial presentation and repeated 48 h later. Which one of the following βhCG results is suspicious for a clinically significant ectopic pregnancy?CorrectIncorrect
4. A 25-year-old woman presents to the A+E department with left iliac fossa pain, vaginal bleeding and a positive pregnancy test. Which symptoms may be associated with an ectopic pregnancy?CorrectIncorrect
5. A 34-year-old nullipara is undergoing treatment for primary infertility. She has irregular periods with a cycle length varying from 45 to 60 days. Her last menstrual period was about 7 weeks back. She was posted for diagnostic hysterolaparoscopy, and during laparoscopy you fi nd an unexpected ectopic pregnancy in the left fallopian tube. She is hemodynamically stable and the right fallopian tube appears healthy. You have taken consent only for diagnostic hysterolaparoscopy. What is the most appropriate course of action?CorrectIncorrect