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Gynaecology & Obstetrics General obstetrics 51a74ce9

What is the treatment of choice of unruptured tubal pregnancy with serum p-hCG titre 2000 lU/ml

A
Single dose of methotrexate
B
Variable dose of methotrexate
C
Expectant management
D
Laparoscopic salpingostomy
High-Yield Explanation
Multiple dose methotrexate very effective for an unruptured ectopic but half of these patients will never need fewer doses.Single dose is associated with a higher likelihood of rupture.Two dose protocol shows promise but is to be evaluated fuher (refer pgno:163 sheila textbook of obstetrics 2 nd edition)

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