Question

A 29-year-old with suspected ectopic pregnancy (6 weeks, pain, light bleeding) is haemodynamically stable. Beta-hCG is 1,800 IU/L and transvaginal ultrasound shows no intrauterine pregnancy. What is the next step?

Accepted Answer

Repeat beta-hCG and transvaginal scan within 48 hours under early pregnancy unit

Answer

Discharge with routine follow-up in 6 weeks

Answer

Immediate methotrexate without further tests

Answer

Laparotomy now

Answer

Start progesterone support

Practice question

A 29-year-old with suspected ectopic pregnancy (6 weeks, pain, light bleeding) is haemodynamically stable. Beta-hCG is 1,800 IU/L and transvaginal ultrasound shows no intrauterine pregnancy. What is the next step?