Question

A 32-year-old woman presents with unilateral lower abdominal pain and positive pregnancy test. TVUS shows no intrauterine pregnancy; hCG 1800 IU/L. She is haemodynamically stable. Best next step?

Accepted Answer

Repeat hCG and TVUS in 48 hours in early pregnancy unit

Answer

Discharge and repeat urine test in 1 week

Answer

Methotrexate immediately

Answer

Immediate laparoscopy

Answer

Start progesterone

Practice question

A 32-year-old woman presents with unilateral lower abdominal pain and positive pregnancy test. TVUS shows no intrauterine pregnancy; hCG 1800 IU/L. She is haemodynamically stable. Best next step?