Question

A 28-year-old hemodynamically stable patient has tubal ectopic pregnancy: β-hCG 3,200 IU/L, no fetal cardiac activity, mass 2.2 cm, normal LFTs/renal function. Best management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Immediate salpingectomy

Answer

Expectant management

Answer

Two-dose methotrexate mandatory

Answer

Admit for inpatient observation only

Practice question

A 28-year-old hemodynamically stable patient has tubal ectopic pregnancy: β-hCG 3,200 IU/L, no fetal cardiac activity, mass 2.2 cm, normal LFTs/renal function. Best management?