Question

A 22-year-old woman has a positive pregnancy test and vaginal bleeding; β-hCG 2,500 mIU/mL, no intrauterine pregnancy on transvaginal ultrasound, hemodynamically stable, no fetal cardiac activity, adnexal mass 2.0 cm. Best management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Expectant management regardless of findings

Answer

Immediate laparotomy

Answer

Dilation and curettage

Answer

High-dose progesterone therapy

Practice question

A 22-year-old woman has a positive pregnancy test and vaginal bleeding; β-hCG 2,500 mIU/mL, no intrauterine pregnancy on transvaginal ultrasound, hemodynamically stable, no fetal cardiac activity, adnexal mass 2.0 cm. Best management?