Mild Lower Abdominal Pain in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1557
SMLE Question #1557
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old G1P0 woman presents with mild lower abdominal pain and light vaginal spotting 6 weeks after her last menstrual period. She has no syncope or shoulder tip pain. Pelvic examination shows a closed cervical os with minimal bleeding. Transvaginal ultrasound shows an empty uterine cavity and a 3-cm right adnexal mass suspicious for ectopic pregnancy with no fetal cardiac activity. She has reliable access to care and agrees to close follow-up. What is the most appropriate management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.