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OBG · Ectopic pregnancy
Sample itemWhat symptom can suggest ruptured ectopic pregnancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Shoulder-tip pain with collapse
Blood irritating the diaphragm after ectopic rupture can cause referred shoulder-tip pain, often with hypotension, syncope, or abdominal pain from internal bleeding.
Option by option
A. Mild nasal itch
Nasal itch is unrelated to ectopic rupture.
B. Painless visual blur
Visual blur is nonspecific and not a key ectopic sign.
C. Shoulder-tip pain with collapse (correct)
Correct: shoulder-tip pain with collapse can indicate intraperitoneal bleeding.
D. Ear fullness
Ear fullness is an otologic symptom.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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