Question

A 29-year-old at 8 weeks gestation has suspected ectopic pregnancy; hCG 3,800 mIU/mL; stable; no fetal cardiac activity; no contraindications. Best management?

Accepted Answer

Methotrexate single-dose protocol

Answer

Immediate laparotomy

Answer

Expectant management regardless of hCG

Answer

D&C followed by observation

Answer

Methotrexate multi-dose only

Practice question

A 29-year-old at 8 weeks gestation has suspected ectopic pregnancy; hCG 3,800 mIU/mL; stable; no fetal cardiac activity; no contraindications. Best management?