A 8-week pregnant woman presents with vaginal spotting and mild cramping. Her last menstrual period was 8 weeks ago; β-hCG is 3,000 IU/L. Transvaginal...

Question

A 8-week pregnant woman presents with vaginal spotting and mild cramping. Her last menstrual period was 8 weeks ago; β-hCG is 3,000 IU/L. Transvaginal ultrasound does not show an intrauterine pregnancy, and there is no adnexal mass or free fluid. She is haemodynamically stable. What is the most appropriate next step?

Accepted Answer

Repeat quantitative β-hCG and transvaginal ultrasound in 48 hours

Answer

Discharge without follow-up

Answer

Immediate methotrexate therapy

Answer

Immediate laparotomy

Answer

Treat as completed miscarriage and provide misoprostol

ca-mccqe1 MCQ (SBA): Pregnancy of unknown location