A 24-year-old woman presents to the GP with pelvic pain and a positive pregnancy test. She is 7 weeks by dates. Transvaginal ultrasound shows an empty...

Question

A 24-year-old woman presents to the GP with pelvic pain and a positive pregnancy test. She is 7 weeks by dates. Transvaginal ultrasound shows an empty uterus and no adnexal mass. Her serum beta-hCG is 1,200 IU/L. She is haemodynamically stable with mild pain only. What is the most appropriate management?

Accepted Answer

Repeat serum beta-hCG in 48 hours to assess the trend

Answer

Diagnose complete miscarriage and discharge

Answer

Prescribe methotrexate for presumed ectopic pregnancy

Answer

Arrange diagnostic laparoscopy immediately

Answer

Arrange a repeat ultrasound in 1 week without checking hCG

uk-drcog MCQ (SBA): Pregnancy of Unknown Location