Question

A 30-year-old woman has sudden severe lower abdominal pain and light vaginal bleeding at 6 weeks' amenorrhoea. She is haemodynamically stable. Urine pregnancy test positive. What is the single most appropriate next step?

Accepted Answer

Transvaginal ultrasound scan

Answer

Immediate methotrexate

Answer

Expectant management

Answer

IV fluids and discharge

Answer

Oral misoprostol

Practice question

A 30-year-old woman has sudden severe lower abdominal pain and light vaginal bleeding at 6 weeks' amenorrhoea. She is haemodynamically stable. Urine pregnancy test positive. What is the single most appropriate next step?