ABSTRACT
For each of the following questions, please pick the most appropriate management. Each option may be used once, more than once or not at all.
1) Abdominal ultrasound scan 2) Admit overnight and monitor 3) Discharge with appropriate
analgesia 4) Expectant management 5) Laparoscopy 6) Laparotomy
7) Methotrexate 8) Monitor human chorionic
gonadotrophin (b-hCG) levels 9) Repeat transvaginal ultrasound
scan (TVS) in 1 week 10) TVS when b-hCG 1000
Question 1: A 23-year-old woman who is pregnant (gestation approximately 7 weeks) presents with a 1 day history of colicky lower abdominal pain. You suspect an ectopic pregnancy and arrange a transvaginal ultrasound scan, which is inconclusive. Serum human chorionic gonadotrophin is 1800 iu.
