This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ecotopic Pregnancy, Subject name: Gynaecology & Obstetrics
[{'content': 'A 21-years-old girl with 8 weeks amenorrhoea, now comes in shock. The likely diagnosis is: \nSelect and explain. \nA. Ruptured ectopic pregnancy, B. Incarcerated amnion, C. Twisted ovarian cyst, D. Threatened abortion', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. is a, i.e. Ruptured ectopic pregnancyRef Dutta Obs. 7/e, p 182Remember: History of acute abdominal catastrophe with fainting attack and collapse i.e. shock following short period of amenorrhea, in a woman of child bearing age always points towards ectopic pregnancy (ruptured) and no other diagnosis.', 'role': 'assistant'}]