Q:

A 24 year old woman has had lower abdominal pain for 12 hours. She is otherwise well. She is at 10 weeks GA (gestational age) in a planned pregnany. What is the single most appropriate test to investigate the cause of acute abdomen in this lady?

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A 24 year old woman has had lower abdominal pain for 12 hours. She is otherwise well. She is at 10 weeks GA (gestational age) in a planned pregnany. What is the single most appropriate test to investigate the cause of acute abdomen in this lady?


  1. Abdominal US
  2. Anti-phospholipid screen
  3. CBC
  4. Transvaginal US
  5. Laparoscopy

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The key is D. Transvaginal US. [D/D: ectopic pregnancy, renal colic, torsion of ovarian cyst, appendicitis etc. Transvaginal US will give better results in case of lower abdominal pain].

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