A 23yo presents with vomiting, nausea and dizziness

A 23yo presents with vomiting, nausea and dizziness. She says her menstrual period has been
delayed 4 weeks as she was stressed recently. There are no symptoms present. What is the next
appropriate management?

a. Refer to OP psychiatry
b. Refer to OP ENT
c. CT brain
d. Dipstick for B-hCG
e. MRI brain
Q. 1. What is the key?
Q. 2. What is the likely diagnosis?
Ans. 1. The key is D. Dipstick for B-hCG.
Ans. 2. Likely diagnosis is pregnancy. [Features like vomiting, nausea and dizziness are consistent with early pregnancy supported by delayed menstruation].