This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
When shoulder pain develops in a case of tubal pregnancy it indicates : 
Select and explain. 
A. Tubal aboion, B. Development of tubal mole, C. Development of broad ligament hematoma, D. Severe internal bleeding
D: Severe internal bleeding
Answer: D: Severe internal bleeding 
Explanation: Severe internal bleeding