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Pathology All India exam 85359376

Most accurate method to detect pregnancy at 6 weeks gestation is

A
USG fetal cardiac activity
B
Doppler
C
Urine HCG
D
Clinical examination
High-Yield Explanation
"Most accurate and safest method to diagnose ble pregnancy at 6 weeks is USG for fetal cardiac activity." Ref: DaftaryFetal cardiac activity by Transvaginal USG can be picked as early as 6 weeks.Fetal cardiac activity by Transabdominal USG can be picked as early as 7 weeks.Doppler is most sensitive but not safe in early pregnancy.Doppler examination of fetal vessels in early pregnancy shouldn&;t be performed without a clinical indication. TAS can detect the fetal parameters in the following sequences:Gestational sac - 4-5 weeks of menstrual age.Fetal pole - 6th week.Fetal cardiac activity 7th week.CRL - 7th week.TVS detects the parameters 1 week earlier.(Refer: William's Obstetrics, 23rd edition)(Refer: Ultrasound Obstetric Gynaecology 2011; 37: 625-8)

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