A 31-year-old with stable, unruptured tubal ectopic pregnancy (β-hCG 3,800 mIU/mL, no fetal cardiac activity) is reliable for follow-up. Best manageme...

Question

A 31-year-old with stable, unruptured tubal ectopic pregnancy (β-hCG 3,800 mIU/mL, no fetal cardiac activity) is reliable for follow-up. Best management?

Accepted Answer

Methotrexate single dose 50 mg/m² IM

Answer

Immediate laparotomy with salpingectomy

Answer

Expectant management only

Answer

Dilation and curettage

Answer

High-dose progesterone therapy

us-usmle-step-2 MCQ (SBA): Ectopic Pregnancy

A 31-year-old with stable, unruptured tubal ectopic pregnancy (β-hCG 3,800 mIU/mL, no fetal cardiac activity) is reliable for follow-up. Best management?