Question

A 31-year-old woman with amenorrhoea and lower abdominal pain has positive pregnancy test and vaginal spotting. TVUS shows no intrauterine pregnancy with hCG 1800 IU/L. She is stable. What is the next best step?

Accepted Answer

Urgent gynaecology assessment for possible ectopic pregnancy

Answer

Discharge and repeat test in 6 weeks

Answer

Administer methotrexate immediately

Answer

Expectant management without review

Answer

Dilation and curettage today

Practice question

A 31-year-old woman with amenorrhoea and lower abdominal pain has positive pregnancy test and vaginal spotting. TVUS shows no intrauterine pregnancy with hCG 1800 IU/L. She is stable. What is the next best step?