Question 74 · LEK · Ectopic pregnancy

A 28-year-old woman, with menstrual cycle length of about 35 days, comes to the admission room with pains in the hypogastrium and vaginal bleeding lasting for 3 days. The last menstrual flow occurred 45 days before. The patient also complains of frequent urination and tenderness of the breasts. What diagnosis should be considered first?

  1. A. hemorrhagic ovarian cyst.
  2. B. ovarian torsion.
  3. C. extrauterine pregnancy.
  4. D. adnexitis.
  5. E. ruptured ovarian cyst.
Hint

Work out whether her period is late given the 35-day cycle, and note the extra symptoms she reports.

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