A 29-year-old hemodynamically stable woman with a confirmed tubal ectopic pregnancy (mass 2.5 cm, no fetal cardiac activity, β-hCG 3,800 IU/L, reliabl...

Question

A 29-year-old hemodynamically stable woman with a confirmed tubal ectopic pregnancy (mass 2.5 cm, no fetal cardiac activity, β-hCG 3,800 IU/L, reliable follow-up) opts for medical therapy. Best regimen?

Accepted Answer

Methotrexate 50 mg/m² IM single-dose protocol with day-4/7 β-hCG monitoring

Answer

Methotrexate 1 mg/kg on days 1,3,5,7 with leucovorin days 2,4,6,8

Answer

Expectant management

Answer

Immediate salpingectomy

Answer

Mifepristone plus misoprostol

us-usmle-step-2 MCQ (SBA): Ectopic pregnancy (medical therapy)

A 29-year-old hemodynamically stable woman with a confirmed tubal ectopic pregnancy (mass 2.5 cm, no fetal cardiac activity, β-hCG 3,800 IU/L, reliable follow-up) opts for medical therapy. Best regimen?