Question

A 31-year-old with positive pregnancy test and lower abdominal pain has β-hCG 1500 IU/L; transvaginal scan shows no intrauterine sac. She is haemodynamically stable. Best next step?

Accepted Answer

Repeat quantitative β-hCG in 48 hours with early pregnancy unit follow-up

Answer

Discharge; repeat test in 6 weeks

Answer

Methotrexate immediately

Answer

Urgent laparotomy

Answer

Expectant management without follow-up

Practice question

A 31-year-old with positive pregnancy test and lower abdominal pain has β-hCG 1500 IU/L; transvaginal scan shows no intrauterine sac. She is haemodynamically stable. Best next step?