Right Tubal Ectopic Pregnancy in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11765

SMLE Question #11765

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old G1P0 woman received single-dose intramuscular methotrexate for a right tubal ectopic pregnancy 8 days ago. She reports mild lower abdominal discomfort and scant vaginal spotting. She is alert and not dizzy. Serial serum β-hCG levels are shown. What is the most appropriate next step in management?

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