A 19-year-old woman presents to the emergency department reporting that she fainted at work earlier in the day. She has mild vaginal bleeding and her abdomen is diffusely tender and distended. She also complains of shoulder and abdominal pain. Her vital signs show temperature 97.6°F (36.4°C), pulse 120/min, and blood pressure 96/50 mmHg. To confirm the diagnosis suggested by the available clinical data, the best initial diagnostic procedure is
ASerum beta-hCG levels
BTransvaginal ultrasound
CFAST (Focused Assessment with Sonography in Trauma)
DDiagnostic laparoscopy
A woman attends an antenatal clinic with a complaint of mild pain in the lower abdomen on the left side, her periods are regular, and a urine pregnancy test was positive at home. A transvaginal ultrasound was performed, revealing an empty uterine cavity and no adnexal mass. Her serum beta human chorionic gonadotropin (hCG) level is 700 IU/L. What is the next step?
AGive single dose of methotrexate
BPerform laparoscopy
CPerform serum beta HCG after 48 hr
DPerform serum beta HCG after 7 days
A 14-year-old female presented with acute retention of urine. She complains of cyclical pain in the abdomen. On examination, a tense blue swelling is seen on local examination. On PR examination - suprapubic bulge present. Her condition is most likely due to?
AImperforate hymen
BTransverse vaginal septum
CCervical agenesis
DLongitudinal vaginal septum
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