Serial Quantitative Serum β-hcg in Obstetrics & Gynecology — 29yo Woman | General Gynecology | SMLE Q#18755

SMLE Question #18755

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ECT-001

Last updated: March 2026
A 29-year-old woman (G2P0) has a right tubal ectopic pregnancy confirmed by transvaginal ultrasound. She has no abdominal guarding, no shoulder-tip pain, and no vaginal bleeding. She received single-dose intramuscular methotrexate and is followed with serial quantitative serum β-hCG. Transvaginal ultrasound shows no free pelvic fluid. What is the most appropriate next step in management?

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