26-year-old Woman in Obstetrics & Gynecology — 26yo Woman | General Gynecology | SMLE Q#18358
SMLE Question #18358
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-ECT-001
Last updated: February 2026
A 26-year-old woman (G2P0) has an ultrasound-confirmed tubal ectopic pregnancy and receives single-dose intramuscular methotrexate. She is haemodynamically stable and reports mild pelvic pain without heavy vaginal bleeding. Serial serum β-hCG values are obtained on the day of injection, day 4, and day 7 as shown. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.