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
A 20 years old woman has been brought to casualty with BP 70/40 mm Hg, pulse rate 120/min. and a positive urine pregnancy test. She should be managed by: 
Select and explain. 
A. Immediate laparotomy, B. Laparoscopy, C. Culdocentesis, D. Resuscitation and Medical management
A: Immediate laparotomy
Answer: A: Immediate laparotomy 
Explanation: Patient is being brought to the casualty with - BP = 70/40mm, P/R = 120/min (i.e. she is in shock).
Her urine pregnancy test is positive i.e. she is a case of ruptured ectopic.