Question

A 40-year-old pregnant patient at 10 weeks has suspected ectopic pregnancy; ultrasound is indeterminate and β-hCG is 2,500 mIU/mL. She is hemodynamically stable. Next best step?

Accepted Answer

Diagnostic uterine aspiration or repeat imaging with serial β-hCG to establish diagnosis before methotrexate

Answer

Methotrexate immediately without confirmation

Answer

Discharge with routine follow-up

Answer

Start progesterone therapy

Answer

Laparotomy urgently in all suspected cases

Practice question

A 40-year-old pregnant patient at 10 weeks has suspected ectopic pregnancy; ultrasound is indeterminate and β-hCG is 2,500 mIU/mL. She is hemodynamically stable. Next best step?