Adnexal ring: not always the ectopic

Question 1Where does a corpus luteum sit?

1. aIn the pouch of Douglas
2. bIn the uterine cavity
3. cIn the fallopian tube
4. dInside the ovary, surrounded by ovarian tissue

Question 2A ring separate from the ovary in a woman with a positive test and no intrauterine pregnancy suggests what?

1. aA tubal ectopic pregnancy
2. bA simple follicle
3. cA normal corpus luteum
4. dBowel

Question 3Does a ring of colour flow separate a corpus luteum from an ectopic?

1. aNo, both can show a ring of flow
2. bYes, only a corpus luteum has flow
3. cYes, only an ectopic has flow
4. dColour is never used

Question 4How can gentle probe pressure help?

1. aIt has no use
2. bIt confirms rupture
3. cIt makes the ring disappear
4. dAn ectopic moves separately from the ovary; a corpus luteum moves with it

Question 5A woman with a positive test is hypotensive with free fluid in the abdomen. What next?

1. aRepeat the hCG in 48 hours
2. bDischarge with safety-netting
3. cA detailed scan of both ovaries first
4. dResuscitate and call gynaecology immediately