Question

A 28-year-old G2P1 at 7 weeks with stable vitals, β-hCG 2,000 mIU/mL, TVUS shows no intrauterine pregnancy, no free fluid, and adnexal mass 2.0 cm; desires fertility; no contraindications. Best management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Immediate laparotomy

Answer

Expectant management only

Answer

Rhogam only

Answer

High-dose progesterone

Practice question

A 28-year-old G2P1 at 7 weeks with stable vitals, β-hCG 2,000 mIU/mL, TVUS shows no intrauterine pregnancy, no free fluid, and adnexal mass 2.0 cm; desires fertility; no contraindications. Best management?