Question

A 29-year-old pregnant patient at 7 weeks with suspected ectopic pregnancy is stable; β-hCG 3,500 mIU/mL, no fetal cardiac activity, mass 2.2 cm, reliable follow-up. Best management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Immediate laparotomy

Answer

Expectant management regardless of β-hCG

Answer

D&C

Answer

Start misoprostol

Practice question

A 29-year-old pregnant patient at 7 weeks with suspected ectopic pregnancy is stable; β-hCG 3,500 mIU/mL, no fetal cardiac activity, mass 2.2 cm, reliable follow-up. Best management?