Acute Abdominal Pain

A cute Abdominal Pain

A cute Abdominal Pain

Acute Abdominal Pain A cute Abdominal Pain

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Question 1 of 3

1. Question
What is the most urgent test you must send after reviewing her?
- Non-contrast CT of kidneys/ureter/bladder
- Urinary beta human chorionic gonadotropin (β-hCG) test
- Urine microscopy
- Serum beta human chorionic gonadotropin (β-hCG) level
- High vaginal swab
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Question 2 of 3

2. Question
Her urinary β-hCG is positive. When you reassess her, her vital signs remain unchanged. She rates her pain at 8/10. Her inflammatory markers, haemoglobin and urine microscopy are normal.

What is your next most appropriate action?
- Refer to Early Pregnancy Assessment Service for next routine review in five days
- Discharge to GP to begin antenatal care
- Transfer to the resuscitation area for further investigation
- Refer to Early Pregnancy Assessment Service for urgent review within 24 hours
- Transfer to the Gynaecology outpatients for urgent review
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Question 3 of 3

3. Question
While resuscitation continues, what additional treatment should you offer this woman?
- 1g tranexamic acid IV
- 250IU anti-D immunoglobulin IM
- 1.2g co-amoxiclav IV
- 2 units packed red cells IV stat
- Morphine 5mg IV
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