A 30-year-old woman presents with 7 weeks' amenorrhoea and lower abdominal pain. Her serum β-hCG is 1500 IU/L and transvaginal ultrasound does not sho...

Question

A 30-year-old woman presents with 7 weeks' amenorrhoea and lower abdominal pain. Her serum β-hCG is 1500 IU/L and transvaginal ultrasound does not show an intrauterine pregnancy. She is haemodynamically stable. What is the most appropriate next step?

Accepted Answer

Repeat β-hCG and transvaginal ultrasound in 48 hours to assess for evolving ectopic pregnancy

Answer

Reassure and discharge without follow-up

Answer

Treat immediately with methotrexate

Answer

Perform uterine curettage immediately

Answer

Start misoprostol to evacuate the uterus

au-acem MCQ (SBA): Suspected ectopic pregnancy

A 30-year-old woman presents with 7 weeks' amenorrhoea and lower abdominal pain. Her serum β-hCG is 1500 IU/L and transvaginal ultrasound does not show an intrauterine pregnancy. She is haemodynamically stable. What is the most appropriate next step?