NBME Step 2 CK Form 8 Methotrexate therapy (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#39 (reveal difficulty score)
A 22-year-old woman comes to the emergency ...
Methotrexate therapy 🔍 / 📺 / 🌳 / 📖
tags: repro

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submitted by ∗step_prep2(66)

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Young woman with previously regular menses presents with a late menstrual period, RLQ abdominal pain with adnexal tenderness, and elevated beta-hCG with a complex adnexal mass on ultrasound, most consistent with uncomplicated ectopic pregnancy
Uncomplicated ectopic pregnancy (no hemodynamic instability or signs of rupture): Methotrexate
Complicated ectopic pregnancy (hemodynamic instability or signs of rupture): Urgent surgical exploration

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