LEK Exam: 2016 sesja wiosenna, subject: Ginekologia i położnictwo, question nr: 21

If hypogastric pain appears approx. 2-3 days after the administration of methotrexate in a patient treated for ectopic pregnancy, you should:

A. perform urgent laparotomy with the longitudinal incision - this symptom means that there is haemorrhage because of ectopic pregnancy rupture.

B. perform urgent laparoscopy - this symptom means that there is haemorrhage because of ectopic pregnancy rupture.

C. perform urgent laparotomy with the transverse incision - this symptom means that there is haemorrhage because of ectopic pregnancy rupture.

D. observe the patient and monitor decrease in the hCG level - this is a typical pain after the treatment with methotrexate.

E. discharge the patient and inform her that the pain is most probably caused by ovulation.

Dział: Ginekologia i położnictwo