Question

A 35-year-old woman with suspected ectopic pregnancy has a β‑hCG of 3,000 mIU/mL and no intrauterine pregnancy on transvaginal ultrasound. She is hemodynamically stable. What is the next best step?

Accepted Answer

Administer methotrexate after confirming eligibility

Answer

Discharge with follow-up in 2 weeks

Answer

Perform dilation and curettage

Answer

Start progesterone

Answer

Expectant management for all

Practice question

A 35-year-old woman with suspected ectopic pregnancy has a β‑hCG of 3,000 mIU/mL and no intrauterine pregnancy on transvaginal ultrasound. She is hemodynamically stable. What is the next best step?