Question

A 27-year-old woman presents with right iliac fossa pain, positive pregnancy test, and vaginal spotting. BP 100/62 mmHg, HR 104 bpm. Transvaginal ultrasound shows an empty uterus and a 2.5 cm adnexal mass. Best next step:

Accepted Answer

Immediate laparoscopy

Answer

Administer methotrexate after confirming β-hCG <1500 IU/L

Answer

Expectant management

Answer

Schedule repeat scan in 7 days

Answer

Give anti-D only and discharge

Practice question

A 27-year-old woman presents with right iliac fossa pain, positive pregnancy test, and vaginal spotting. BP 100/62 mmHg, HR 104 bpm. Transvaginal ultrasound shows an empty uterus and a 2.5 cm adnexal mass. Best next step: