Question

A 28-year-old with suspected ectopic pregnancy has β‑hCG 2500 mIU/mL and no intrauterine pregnancy on transvaginal ultrasound; stable. Next best step?

Accepted Answer

Obstetric consultation; consider methotrexate if criteria met

Answer

Discharge with routine follow-up

Answer

Immediate D&C in all cases

Answer

Start misoprostol

Answer

No further evaluation until β‑hCG >5000

Practice question

A 28-year-old with suspected ectopic pregnancy has β‑hCG 2500 mIU/mL and no intrauterine pregnancy on transvaginal ultrasound; stable. Next best step?