Early pregnancy: ectopic pregnancy: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Early pregnancy: ectopic pregnancy

Sample item

A patient at 7 weeks' gestation has unilateral pelvic pain, vaginal bleeding, shoulder-tip pain, hypotension, and free intraperitoneal fluid on ultrasound. What is the immediate priority?

AReassure and dischargeBRepeat a pregnancy test in one weekCResuscitation and urgent gynecologic surgical assessmentDStart oral iron alone

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Resuscitation and urgent gynecologic surgical assessment

This presentation suggests ruptured ectopic pregnancy with hemorrhagic shock. Resuscitation and urgent operative or specialist management take priority over expectant follow-up.

Option by option

A. Reassure and discharge
Discharge risks fatal deterioration.
B. Repeat a pregnancy test in one week
A delayed test is unsafe in suspected rupture.
C. Resuscitation and urgent gynecologic surgical assessment (correct)
Correct. Hemodynamic instability and free fluid require immediate emergency management.
D. Start oral iron alone
Iron does not treat active intra-abdominal hemorrhage.

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.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Resuscitation and urgent gynecologic surgical assessment. This presentation suggests ruptured ectopic pregnancy with hemorrhagic shock.

Why is "Reassure and discharge" not the answer?

Discharge risks fatal deterioration.

Why is "Repeat a pregnancy test in one week" not the answer?

A delayed test is unsafe in suspected rupture.

Why is "Start oral iron alone" not the answer?

Iron does not treat active intra-abdominal hemorrhage.

What concept does this question test?

It tests Early pregnancy: ectopic pregnancy in OBG. Resuscitation and urgent operative or specialist management take priority over expectant follow-up.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Early pregnancy: ectopic pregnancy?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.