Recent Question

(M2.OB.80) A 32-year-old female presents to her gynecologist noting that she missed her menstrual period two weeks ago. She denies pelvic pain, but notes that she has a very regular cycle and typically does not miss periods. She is concerned and states she would like to have an abortion if she is pregnant. Her blood pressure is 135/81 mmHg, heart rate is 82 beats per minute, and she is afebrile. A pelvic ultrasound is performed, which shows no sign of a gestational sac in the uterus, and her beta-human chorionic gonadotropin (HCG) level is found to be 2600 mIU/mL. She tested negative for Rh and the father's Rh status is unknown. Her liver and renal function tests are normal. Which of the following is the next best step? Topic Review Topic

1. Laparoscopy alone
2. Laparoscopy and administration of RhoGAM
3. Repeat pelvic ultrasound in 1 week
4. Transvaginal ultrasound
5. Administer methotrexate and RhoGAM

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