Question

A 28-year-old with suspected ectopic pregnancy is hemodynamically stable; β‑hCG is 5,800 mIU/mL and fetal cardiac activity is detected outside the uterus. Which management is most appropriate?

Accepted Answer

Surgical management is preferred given findings

Answer

Single-dose methotrexate

Answer

Two-dose methotrexate

Answer

Expectant management

Answer

Delay intervention until β‑hCG exceeds 10,000 mIU/mL

Practice question

A 28-year-old with suspected ectopic pregnancy is hemodynamically stable; β‑hCG is 5,800 mIU/mL and fetal cardiac activity is detected outside the uterus. Which management is most appropriate?