Question

A 28-year-old with hemodynamic stability but suspected ectopic pregnancy has β‑hCG 1,800 mIU/mL and no cardiac activity on ultrasound. Which factor below is an absolute contraindication to methotrexate?

Accepted Answer

Hemodynamic instability

Answer

Size of 3.2 cm

Answer

Mild abdominal pain

Answer

Desire for future fertility

Answer

β‑hCG <5,000 mIU/mL

Practice question

A 28-year-old with hemodynamic stability but suspected ectopic pregnancy has β‑hCG 1,800 mIU/mL and no cardiac activity on ultrasound. Which factor below is an absolute contraindication to methotrexate?