Question 4:
A 25-year-old female presents with vaginal spotting and right lower quadrantpain. She denies passage of tissue. Her abdomen is tender to mild palpation in the right lower quadrant. There is minimal dark blood in the vaginal vault, and her cervix is closed and thick. Quantitative serum hCG is 4000 mIU/mL. A transvaginal ultrasound(TVUS) shows no evidence of pregnancy inside the uterus. What is the most likely diagnosis?
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answer Q4: Ectopic pregnancy
A gestational sac should be seen inside the uteruson a transvaginal ultrasound with an hCG level of 1500 mIU/mL. If the pregnancy is not in the uterus, then an investigation must be carried out for an ectopic pregnancy.
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