Right Tubal Ectopic Pregnancy in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#1538
SMLE Question #1538
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old woman with a right tubal ectopic pregnancy received single-dose intramuscular methotrexate 7 days ago. Initial transvaginal ultrasound showed a 2.5-cm right adnexal mass with no fetal cardiac activity. She has minimal vaginal spotting and no abdominal pain, dizziness, or syncope. Abdominal examination shows no guarding or rebound tenderness. Serial serum β-hCG levels have been measured on day 0, day 4, and day 7 after treatment. What is the most appropriate next step in management?
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