Single-dose Methotrexate in Obstetrics & Gynecology — 29yo Woman | General Gynecology | SMLE Q#20278
SMLE Question #20278
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-ECT-002
Last updated: July 2026
A 29-year-old woman (G2P0) has a 7-week unruptured tubal ectopic pregnancy treated as an outpatient with single-dose methotrexate after meeting eligibility criteria. On follow-up, serial serum β-hCG initially decreased but then plateaued, with inadequate decline between measurements. She has mild pelvic discomfort without peritoneal signs and is hemodynamically stable. What is the most appropriate next step in management?
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