A 30-year-year-old with suspected ectopic pregnancy is stable; β‑hCG 2,500 IU/L and no fetal cardiac activity. Mass 2.5 cm. She is reliable for follow...

Question

A 30-year-year-old with suspected ectopic pregnancy is stable; β‑hCG 2,500 IU/L and no fetal cardiac activity. Mass 2.5 cm. She is reliable for follow-up. Best management?

Accepted Answer

Methotrexate medical therapy

Answer

500 IU/L and no fetal cardiac activity. Mass 2.5 cm. She is reliable for follow-up. Best management?

Answer

Immediate laparotomy

Answer

Expectant management for all

Answer

Mifepristone alone

obstetrics & gynecology MCQ (SBA): ACOG Practice Bulletin (2018): Tubal Ectopic Pregnancy

A 30-year-year-old with suspected ectopic pregnancy is stable; β‑hCG 2,500 IU/L and no fetal cardiac activity. Mass 2.5 cm. She is reliable for follow-up. Best management?