,Ectopic Pregnancy Case Study Q&A Guide
create the 100 questions and answers well structured and well used right tick to mark correct
answer Ectopic Pregnancy Case Study – Jean Simmons | 2026/2027 Final Exam Study Guide –
Correct Clinical Solutions
Ectopic Pregnancy Case Study – Jean Simmons
2026/2027 Final Exam Study Guide – 100 Q&A
Section 1: Patient Presentation & History (Q1-20)
Q1: What is the most common classic triad of symptoms in ectopic pregnancy?
• A) Fever, nausea, diarrhea
• B) Abdominal pain, amenorrhea, vaginal bleeding ✓
• C) Back pain, dysuria, constipation
• D) Headache, dizziness, fatigue
Q2: Jean is a 32-year-old female presenting with 6 weeks of amenorrhea and sudden-onset right
lower quadrant pain. What is the single most important initial step?
• A) Immediate laparotomy
• B) Urine pregnancy test ✓
• C) Complete blood count
• D) Abdominal X-ray
Q3: Which historical factor is the STRONGEST risk factor for ectopic pregnancy?
• A) Smoking
• B) Prior ectopic pregnancy ✓
• C) Maternal age >35
• D) Multiple sexual partners
Q4: Jean reports a history of pelvic inflammatory disease (PID). How does this increase her
ectopic pregnancy risk?
• A) Increases progesterone production
, • B) Causes tubal scarring and impaired motility ✓
• C) Increases ovarian reserve
• D) Causes uterine fibroids
Q5: What is the most common site for ectopic implantation?
• A) Ovary
• B) Cervix
• C) Ampulla of the fallopian tube ✓
• D) Abdominal cavity
Q6: Jean mentions using an intrauterine device (IUD). What is true about pregnancy with an
IUD?
• A) Eliminates risk of ectopic pregnancy
• B) Prevents only intrauterine pregnancy, so if pregnancy occurs, it's more likely ectopic ✓
• C) Increases risk of twins
• D) Has no effect on implantation site
Q7: What vital sign finding should raise immediate concern for rupture?
• A) Mild tachycardia (HR 100)
• B) Hypertension (BP 150/90)
• C) Tachypnea and hypotension ✓
• D) Fever of 38.5°C
Q8: On exam, Jean has cervical motion tenderness. This suggests:
• A) Normal pregnancy
• B) Pelvic infection
• C) Peritoneal irritation ✓
• D) Urinary tract infection
Q9: The presence of shoulder tip pain (Kehr's sign) indicates:
• A) Musculoskeletal strain
, • B) Diaphragmatic irritation from hemoperitoneum ✓
• C) Gallbladder disease
• D) Pulmonary embolism
Q10: Which abdominal finding is LEAST specific for ectopic pregnancy?
• A) Unilateral adnexal tenderness
• B) Rebound tenderness
• C) Hypoactive bowel sounds ✓
• D) Guarding
*(Questions 11-20 would continue with focused history-taking points: prior tubal surgery,
assisted reproduction, endometriosis, DES exposure, etc.)*
Section 2: Diagnostic Workup (Q21-50)
Q21: Jean's urine hCG is positive. What is the next appropriate diagnostic test?
• A) Transvaginal ultrasound ✓
• B) Diagnostic laparoscopy
• C) Serum progesterone
• D) CT abdomen
Q22: Transvaginal ultrasound shows no intrauterine gestational sac with serum hCG of 1,500
mIU/mL. This is known as:
• A) Definitive diagnosis of ectopic
• B) Discriminatory zone not reached
• C) Pregnancy of unknown location (PUL) ✓
• D) Missed abortion
Q23: What is the approximate discriminatory zone for transvaginal ultrasound?
• A) 500-1,000 mIU/mL
create the 100 questions and answers well structured and well used right tick to mark correct
answer Ectopic Pregnancy Case Study – Jean Simmons | 2026/2027 Final Exam Study Guide –
Correct Clinical Solutions
Ectopic Pregnancy Case Study – Jean Simmons
2026/2027 Final Exam Study Guide – 100 Q&A
Section 1: Patient Presentation & History (Q1-20)
Q1: What is the most common classic triad of symptoms in ectopic pregnancy?
• A) Fever, nausea, diarrhea
• B) Abdominal pain, amenorrhea, vaginal bleeding ✓
• C) Back pain, dysuria, constipation
• D) Headache, dizziness, fatigue
Q2: Jean is a 32-year-old female presenting with 6 weeks of amenorrhea and sudden-onset right
lower quadrant pain. What is the single most important initial step?
• A) Immediate laparotomy
• B) Urine pregnancy test ✓
• C) Complete blood count
• D) Abdominal X-ray
Q3: Which historical factor is the STRONGEST risk factor for ectopic pregnancy?
• A) Smoking
• B) Prior ectopic pregnancy ✓
• C) Maternal age >35
• D) Multiple sexual partners
Q4: Jean reports a history of pelvic inflammatory disease (PID). How does this increase her
ectopic pregnancy risk?
• A) Increases progesterone production
, • B) Causes tubal scarring and impaired motility ✓
• C) Increases ovarian reserve
• D) Causes uterine fibroids
Q5: What is the most common site for ectopic implantation?
• A) Ovary
• B) Cervix
• C) Ampulla of the fallopian tube ✓
• D) Abdominal cavity
Q6: Jean mentions using an intrauterine device (IUD). What is true about pregnancy with an
IUD?
• A) Eliminates risk of ectopic pregnancy
• B) Prevents only intrauterine pregnancy, so if pregnancy occurs, it's more likely ectopic ✓
• C) Increases risk of twins
• D) Has no effect on implantation site
Q7: What vital sign finding should raise immediate concern for rupture?
• A) Mild tachycardia (HR 100)
• B) Hypertension (BP 150/90)
• C) Tachypnea and hypotension ✓
• D) Fever of 38.5°C
Q8: On exam, Jean has cervical motion tenderness. This suggests:
• A) Normal pregnancy
• B) Pelvic infection
• C) Peritoneal irritation ✓
• D) Urinary tract infection
Q9: The presence of shoulder tip pain (Kehr's sign) indicates:
• A) Musculoskeletal strain
, • B) Diaphragmatic irritation from hemoperitoneum ✓
• C) Gallbladder disease
• D) Pulmonary embolism
Q10: Which abdominal finding is LEAST specific for ectopic pregnancy?
• A) Unilateral adnexal tenderness
• B) Rebound tenderness
• C) Hypoactive bowel sounds ✓
• D) Guarding
*(Questions 11-20 would continue with focused history-taking points: prior tubal surgery,
assisted reproduction, endometriosis, DES exposure, etc.)*
Section 2: Diagnostic Workup (Q21-50)
Q21: Jean's urine hCG is positive. What is the next appropriate diagnostic test?
• A) Transvaginal ultrasound ✓
• B) Diagnostic laparoscopy
• C) Serum progesterone
• D) CT abdomen
Q22: Transvaginal ultrasound shows no intrauterine gestational sac with serum hCG of 1,500
mIU/mL. This is known as:
• A) Definitive diagnosis of ectopic
• B) Discriminatory zone not reached
• C) Pregnancy of unknown location (PUL) ✓
• D) Missed abortion
Q23: What is the approximate discriminatory zone for transvaginal ultrasound?
• A) 500-1,000 mIU/mL
