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MediumO&GEctopic pregnancyca-mccqe1ca-ccfpca-rcpsc-em

A 29-year-old woman presents to the emergency department with right lower quadrant abdominal pain, vaginal spotting and a history of 7 weeks since her last menstrual period. She has a positive urine pregnancy test. Vital signs are stable. Transvaginal ultrasound shows no intrauterine pregnancy and a small right adnexal mass; serum β-hCG is 2 500 IU/L. What is the most appropriate next step?

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