Page 195 - Demo

Question 26A 28-year-old woman presents with lower abdominal pain and vaginal bleeding. Her last menstrual period was 7 weeks ago. Transvaginal ultrasound shows an empty uterus and a mass in the left adnexa. What is the most likely diagnosis?A) Threatened miscarriageB) Ovarian cystC) Ectopic pregnancyD) Pelvic inflammatory diseaseE) AppendicitisAnswer: C) Ectopic pregnancyExplanation: The combination of amenorrhea, abdominal pain, vaginal bleeding, empty uterus on ultrasound, and an adnexal mass is highly suggestive of an ectopic pregnancy.