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A 23-year-old female presents to your Emergency Department with lower abdominal discomfort and some per-vaginal bleeding. Her LMP was 5 weeks ago and her urine Ξ²-hCG is positive.

1. List (6) predisposing factors for ectopic pregnancy. 6 marks

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2. List (4) examination findings that make ectopic rather than intra-uterine pregnancy more likely. 4 marks

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An ultrasound confirms and intrauterine pregnancy. On return from imaging, she becomes unwell with systolic BP 65 and HR 40. She is placed in resus and is on a monitor.

3. State (3) likely reasons for the bradycardia. 3 marks

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4. BRIEFLY outline your immediate management. 5 marks

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