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7694 Gynaecology & Obstetrics

A woman complains of right-sided lower abdominal pain and mild bleeding per vagina for one day after a period of amenorrhoea of 6 weeks. Her general condition is satisfactory. There is tenderness in the right iliac fossa. The urine hCG test is positive. Transvaginal ultrasound scan does not reveal an adnexal mass or an intrauterine pregnancy.What is the next step in the management?

ACommence treatment with methotrexate
BPerform a laparoscopic examination
CPerform two serum beta hCG tests 48 hours apart
DRepeat the ultrasound scan after 7 days
Gynaecology & Obstetrics
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