Question

A 32 year old woman presents with lower abdominal pain and vaginal spotting at 7 weeks gestation. Serum hCG is 2500 IU/L and transvaginal ultrasound shows no intrauterine gestational sac and a small adnexal mass. She is haemodynamically stable. Which management is most appropriate?

Accepted Answer

Consider methotrexate therapy with close follow up

Answer

Discharge without follow up

Answer

Repeat pregnancy test in 3 months

Answer

Immediate total abdominal hysterectomy

Answer

Delay any treatment until foetal heart visible

Practice question

A 32 year old woman presents with lower abdominal pain and vaginal spotting at 7 weeks gestation. Serum hCG is 2500 IU/L and transvaginal ultrasound shows no intrauterine gestational sac and a small adnexal mass. She is haemodynamically stable. Which management is most appropriate?