Final answer:
In ectopic pregnancy, it is important to know the true statements from the false ones. Shoulder pain is not an important symptom in ectopic pregnancy.
Step-by-step explanation:
In ectopic pregnancy, several statements are true except for one:
- Pain usually precedes bleeding: Pain is a common symptom of ectopic pregnancy, but it does not always precede bleeding. Depending on the location and severity of the ectopic pregnancy, bleeding may occur before or at the same time as the pain.
- Shoulder pain is an important symptom: Shoulder pain is not typically associated with ectopic pregnancy. It is more commonly related to conditions such as liver or gallbladder problems.
- The isthmus of the tube is the commonest site of implantation: The isthmus of the fallopian tube is not the most common site of implantation in ectopic pregnancy. The ampulla, which is the broader middle part of the fallopian tube, is the most common site.
- Is often not diagnosed by os: Ectopic pregnancy is typically not diagnosed by os (opening of the cervix), but rather through imaging techniques such as ultrasound and blood tests.
- The incidence is greater in women with IUCD: The incidence of ectopic pregnancy is actually lower in women who use an intrauterine contraceptive device (IUCD) compared to women without any contraceptive method.
Therefore, the statement that is false is b) Shoulder pain is an important symptom.
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