Question

A 32-year-old woman with positive pregnancy test and lower abdominal pain with spotting has a β-hCG of 1600 IU/L and no intrauterine sac on transvaginal ultrasound. She is stable. What is the next step?

Accepted Answer

Repeat serum hCG in 48 hours and repeat scan

Answer

Discharge with reassurance

Answer

Immediate methotrexate

Answer

Surgical salpingectomy now

Answer

Start progesterone

Practice question

A 32-year-old woman with positive pregnancy test and lower abdominal pain with spotting has a β-hCG of 1600 IU/L and no intrauterine sac on transvaginal ultrasound. She is stable. What is the next step?