A 29-year-old woman presents at 7 weeks of gestation with lower abdominal pain and vaginal spotting. A urine pregnancy test is positive. Transvaginal ...

Question

A 29-year-old woman presents at 7 weeks of gestation with lower abdominal pain and vaginal spotting. A urine pregnancy test is positive. Transvaginal ultrasound shows an empty uterus and a 2 cm adnexal mass with free fluid. She is haemodynamically stable. What is the most appropriate management?

Accepted Answer

Single-dose systemic Methotrexate under specialist care

Answer

Expectant management with no follow-up

Answer

Immediate laparotomy in all cases

Answer

Discharge with oral antibiotics

Answer

Termination of pregnancy by medical means

uk-plab-1 MCQ (SBA): Ectopic pregnancy

A 29-year-old woman presents at 7 weeks of gestation with lower abdominal pain and vaginal spotting. A urine pregnancy test is positive. Transvaginal ultrasound shows an empty uterus and a 2 cm adnexal mass with free fluid. She is haemodynamically stable. What is the most appropriate management?