A 33-year-old presents with suspected ectopic pregnancy; β‑hCG 2,000 mIU/mL, mass 2.5 cm, no fetal cardiac activity, stable, reliable follow‑up. Best ...

Question

A 33-year-old presents with suspected ectopic pregnancy; β‑hCG 2,000 mIU/mL, mass 2.5 cm, no fetal cardiac activity, stable, reliable follow‑up. Best management?

Accepted Answer

Single‑dose methotrexate protocol

Answer

Immediate laparotomy

Answer

Expectant management without follow‑up

Answer

Misoprostol regimen

Answer

D&C only

us-usmle-step-2 MCQ (SBA): Ectopic Pregnancy-Medical Therapy

A 33-year-old presents with suspected ectopic pregnancy; β‑hCG 2,000 mIU/mL, mass 2.5 cm, no fetal cardiac activity, stable, reliable follow‑up. Best management?