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OBG · Early pregnancy
Sample itemWhich symptom combination raises concern for ectopic pregnancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Positive pregnancy test with pain and vaginal bleeding
Early pregnancy pain and bleeding can represent ectopic pregnancy, especially with risk factors, and require urgent localization of the pregnancy.
Option by option
A. Regular painless contractions at 39 weeks
Term contractions need labour assessment, not ectopic evaluation.
B. Positive pregnancy test with pain and vaginal bleeding (correct)
Correct: pain and bleeding with pregnancy require ectopic exclusion.
C. Isolated breast tenderness
Breast tenderness is common and nonspecific.
D. Painless fetal movements at term
Fetal movement is normal later pregnancy physiology.
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.