Question

A 28-year-old with RLQ pain, positive pregnancy test, and β-hCG 2,800 mIU/mL. TV ultrasound shows no intrauterine pregnancy; she is hemodynamically stable, mass 2.5 cm without cardiac activity. Best management?

Accepted Answer

Single-dose methotrexate

Answer

Immediate laparoscopy

Answer

Expectant management only

Answer

Dilation and curettage

Answer

Misoprostol 800 µg PV

Practice question

A 28-year-old with RLQ pain, positive pregnancy test, and β-hCG 2,800 mIU/mL. TV ultrasound shows no intrauterine pregnancy; she is hemodynamically stable, mass 2.5 cm without cardiac activity. Best management?