Question

A hemodynamically stable patient with suspected tubal ectopic pregnancy has hCG 3,800 IU/L, no fetal cardiac activity, and no contraindications to medical therapy. Best management?

Accepted Answer

Single-dose methotrexate regimen

Answer

Expectant management despite rising hCG

Answer

Immediate laparotomy

Answer

Dilation and curettage

Answer

Progesterone therapy

Practice question

A hemodynamically stable patient with suspected tubal ectopic pregnancy has hCG 3,800 IU/L, no fetal cardiac activity, and no contraindications to medical therapy. Best management?