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OBG · Early pregnancy
Sample itemWhich combination should raise concern for ectopic pregnancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pain, vaginal bleeding, and positive pregnancy test
Ectopic pregnancy may present with lower abdominal pain, bleeding, and a positive test; rupture can cause shock and needs urgent assessment.
Option by option
A. Painless ankle swelling
Ankle swelling is not a typical early ectopic symptom.
B. Itchy rash after soap
Contact dermatitis does not indicate ectopic pregnancy.
C. Chronic hearing loss
Hearing loss is unrelated to pregnancy location.
D. Pain, vaginal bleeding, and positive pregnancy test (correct)
Correct: this is the classic ectopic warning pattern.
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.