Which condition is described as having severe abdominal pain without vaginal bleeding?

• A. Spontaneous abortion
• B. Uterine rupture
• C. Ectopic pregnancy
• D. Preeclampsia

Answer: (C)

An ectopic pregnancy is when a fertilized egg implants outside the uterine cavity, most often in a fallopian tube. This is dangerous because the tissue outside the uterus cannot support the growing pregnancy and can rupture, causing internal bleeding. Early on, the expanding tissue can produce severe abdominal or pelvic pain, and vaginal bleeding may be minimal or even absent. That combination—severe abdominal pain with little or no vaginal bleeding—fits ectopic pregnancy best among the options, because the other conditions characteristically present with vaginal bleeding or different symptoms: miscarriage usually involves bleeding and cramping; uterine rupture typically shows sudden severe pain with heavy bleeding during labor or with a scar; preeclampsia involves high blood pressure, protein in the urine, and other systemic signs, not just abdominal pain without bleeding.