A 27-year-old woman has 7 weeks of amenorrhea, severe unilateral pelvic pain, shoulder pain, and syncope. Blood pressure is 82/46 mm Hg. Pregnancy

Question

A 27-year-old woman has 7 weeks of amenorrhea, severe unilateral pelvic pain, shoulder pain, and syncope. Blood pressure is 82/46 mm Hg. Pregnancy test is positive. FAST shows free fluid. Which of the following is the most appropriate next step in management?

Accepted Answer

Immediate surgical management

Answer

Methotrexate outpatient therapy

Answer

Oral contraceptive initiation

Answer

Observation for spontaneous resolution

Answer

Routine prenatal follow-up

Ruptured ectopic pregnancy — USMLE Step 3 MCQ

A 27-year-old woman has 7 weeks of amenorrhea, severe unilateral pelvic pain, shoulder pain, and syncope. Blood pressure is 82/46 mm Hg. Pregnancy test is positive. FAST shows free fluid. Which of the following is the most appropriate next step in management?