Which situation is a contraindication to methotrexate for an ectopic pregnancy?
Answer and explanation
Correct answer: D. Haemodynamic instability
- Step 1: Unstable patients need surgery.
- Step 2: Methotrexate is for stable women with a small unruptured ectopic.
Answer
Haemodynamic instability.
Why not the others: 'hCG of 1,000 IU/L' is within the accepted range; 'Unruptured mass of 2 cm' is acceptable; 'No fetal heartbeat' is acceptable.
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