Question

A 31-year-old G1P0 at 8 weeks with stable vital signs has a β-hCG of 3,600 mIU/mL and transvaginal ultrasound showing an adnexal mass with no intrauterine sac. She prefers medical management. Best option?

Accepted Answer

Methotrexate if no fetal cardiac activity and reliable follow-up

Answer

Immediate laparoscopic salpingostomy for all ectopics

Answer

Expectant management regardless of β-hCG

Answer

Misoprostol alone

Answer

D&C to evacuate presumed intrauterine pregnancy

Practice question

A 31-year-old G1P0 at 8 weeks with stable vital signs has a β-hCG of 3,600 mIU/mL and transvaginal ultrasound showing an adnexal mass with no intrauterine sac. She prefers medical management. Best option?