A 28-year-old woman presents with 6 weeks of amenorrhoea, lower abdominal pain and light vaginal bleeding. A urine pregnancy test is positive. Transva...

Question

A 28-year-old woman presents with 6 weeks of amenorrhoea, lower abdominal pain and light vaginal bleeding. A urine pregnancy test is positive. Transvaginal ultrasound shows no intrauterine gestational sac and a right adnexal mass. She is haemodynamically stable. What is the most appropriate management?

Accepted Answer

Arrange methotrexate treatment after confirming criteria

Answer

Reassure and discharge with routine antenatal booking

Answer

Urgent laparotomy

Answer

Expectant management at home without follow-up

Answer

Start Misoprostol to induce miscarriage

uk-plab-1 MCQ (SBA): Ectopic pregnancy