A haemodynamically stable patient with suspected ectopic pregnancy has β‑hCG 3,800 mIU/mL, a 2.5‑cm adnexal mass without cardiac activity, and no cont...

Question

A haemodynamically stable patient with suspected ectopic pregnancy has β‑hCG 3,800 mIU/mL, a 2.5‑cm adnexal mass without cardiac activity, and no contraindications. Best management?

Accepted Answer

Methotrexate medical management

Answer

Emergent laparotomy

Answer

Expectant management regardless of follow-up

Answer

D&C only

Answer

Immediate hysterectomy

us-usmle-step-2 MCQ (SBA): Ectopic pregnancy

A haemodynamically stable patient with suspected ectopic pregnancy has β‑hCG 3,800 mIU/mL, a 2.5‑cm adnexal mass without cardiac activity, and no contraindications. Best management?