Question

A 29-year-old primigravida at 8 weeks with vaginal spotting and β-hCG 2,500 mIU/mL, ultrasound shows no IUP and no adnexal mass. She is stable. Which is TRUE regarding methotrexate?

Accepted Answer

Contraindicated without confirmed nonviability; careful follow-up needed

Answer

Always indicated at first visit

Answer

Indicated regardless of β-hCG

Answer

Best used in unstable patients

Answer

Given with folate supplementation

Practice question

A 29-year-old primigravida at 8 weeks with vaginal spotting and β-hCG 2,500 mIU/mL, ultrasound shows no IUP and no adnexal mass. She is stable. Which is TRUE regarding methotrexate?