---
title: 34-year-old gravida 1 para 0 presents with a complaint of abdominal pain
description: It's Ectopic Pregnancy Quiz Time with Med-Challenger!
---

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# [34-year-old gravida 1 para 0 presents with a complaint of abdominal pain](https://challengercme.com/blog/34-year-old-gravida-1-para-0-presents-with-a-complaint-of-abdominal-pain)

 Written by [Med-Challenger](https://challengercme.com/blog/author/med-challenger) | Dec 24, 2024 2:45:00 PM

A 34-year-old gravida 1 para 0 presents with a complaint of abdominal pain. It is a vague, achy sort of pain that "comes and goes." She notes that her period should have come about 2 weeks earlier, but it did not. She has also noticed some irregular vaginal spotting. You perform ultrasonography (see figure).

*Figure.*

Assuming the embryo in this picture demonstrates cardiac activity, ultrasonography shows the most specific sonographic sign of an ectopic pregnancy. If this is not seen, which of the following is the next most specific sonographic sign of ectopic pregnancy?

- decidual cyst within endometrial cavity
- complex pelvic fluid
- complex or solid adnexal mass separate from the ovary
- extrauterine gestational sac containing a yolk sac with or without an embryo
- tubal ring without an embryo or yolk sac

 

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