Question

A 27-year-old hemodynamically stable patient with confirmed tubal ectopic pregnancy, no fetal cardiac activity, initial β-hCG 3,200 mIU/mL, mass 2.0 cm, reliable follow-up. Best management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Immediate laparoscopic salpingectomy

Answer

Expectant management without follow-up

Answer

D&C followed by observation

Answer

Start progesterone therapy

Practice question

A 27-year-old hemodynamically stable patient with confirmed tubal ectopic pregnancy, no fetal cardiac activity, initial β-hCG 3,200 mIU/mL, mass 2.0 cm, reliable follow-up. Best management?