Question

A 29-year-old G2P1 at 9 weeks with vaginal bleeding and β-hCG 3,200 mIU/mL; TVUS shows no intrauterine pregnancy and a 2 cm adnexal mass. Hemodynamically stable, Rh positive, no contraindications. Best management?

Accepted Answer

Methotrexate single-dose protocol

Answer

Expectant management only

Answer

Immediate total abdominal hysterectomy

Answer

D&C followed by observation

Answer

Start progesterone supplementation

Practice question

A 29-year-old G2P1 at 9 weeks with vaginal bleeding and β-hCG 3,200 mIU/mL; TVUS shows no intrauterine pregnancy and a 2 cm adnexal mass. Hemodynamically stable, Rh positive, no contraindications. Best management?