2 Days Of Lower in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#582
SMLE Question #582
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 27-year-old G2P0 woman with 7 weeks of amenorrhea presents with 2 days of lower abdominal pain and scant vaginal spotting. Urine pregnancy test is positive. Transvaginal ultrasound shows no intrauterine gestational sac and a 2.0-cm adnexal mass with a gestational sac but no fetal cardiac activity; no free fluid is seen. Serum β-hCG is 3,500 IU/L. She is hemodynamically stable and desires future fertility. What is the most appropriate next step in management?
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