Question

A 24-year-old with a first-trimester ectopic pregnancy (β-hCG 3,200 mIU/mL, no fetal cardiac activity, mass 2.3 cm) is hemodynamically stable. What is the best management?

Accepted Answer

Single-dose methotrexate

Answer

Immediate laparotomy

Answer

Expectant management is always contraindicated

Answer

D&C

Answer

High-dose progesterone

Practice question

A 24-year-old with a first-trimester ectopic pregnancy (β-hCG 3,200 mIU/mL, no fetal cardiac activity, mass 2.3 cm) is hemodynamically stable. What is the best management?