A 29-year-old woman presents to the emergency department with amenorrhoea, lower abdominal pain and light vaginal bleeding. She is haemodynamically st...

Question

A 29-year-old woman presents to the emergency department with amenorrhoea, lower abdominal pain and light vaginal bleeding. She is haemodynamically stable. β-hCG is 1500 IU/L; transvaginal ultrasound shows no intrauterine pregnancy and a 2 cm adnexal mass. What is the most appropriate management option?

Accepted Answer

Consider methotrexate therapy for ectopic pregnancy after confirming criteria

Answer

Discharge and repeat pregnancy test in 4 weeks

Answer

Immediate dilation and curettage

Answer

Start combined oral contraceptive pill

Answer

No follow-up required

au-amc MCQ (SBA): Ectopic pregnancy