Question

A 34-year-old woman with suspected ectopic pregnancy has positive pregnancy test and β-hCG 1500 IU/L. Transvaginal ultrasound shows no intrauterine pregnancy. She is stable. What is the next step?

Accepted Answer

Repeat β-hCG and ultrasound in 48 hours with safety-netting

Answer

Discharge with reassurance

Answer

Start methotrexate immediately in primary care

Answer

Schedule routine scan in 3 weeks

Answer

Advise bed rest only

Practice question

A 34-year-old woman with suspected ectopic pregnancy has positive pregnancy test and β-hCG 1500 IU/L. Transvaginal ultrasound shows no intrauterine pregnancy. She is stable. What is the next step?