This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
[{'content': 'Ectopic pregnancy occurs in all EXCEPT \nSelect and explain. \nA. PID, B. IUD, C. History of previous ectopic, D. DUB', 'role': 'user'}, {'content': "Answer: D \nExplanation: i.e. (DUB): (178-Dutta's7th) (266-67-Shaw's 15th)RISK FACTORS OF ECTOPIC PREGNANCY* History of PID* History of tubal ligation* Contraception failure* Previous ectopic pregnancy* Tubal reconstructive surgery* History of infertility* ART particularly if the tube are patent but damaged* IUD use* Previous induced abortion* Tubal endometriosis Sonography scan reveals adnexal mass | |||Adenexal mass < 3cmAdnexal mass 3-5 cmAdnexal mass > 5cm or free fluid|||Medical managementLaparoscopyLaparotomy* Methotrexate + leucovorum* Prostaglandin F2a* RU - 486* KC1. hypermolar glucose* Salpingectomy* Milking fimbrial end pregnancy* Salpingotomy* Salpingostomy* Resection* Study opposite tube* Salpingectomy* Salpingo-oophorectomy* Study opposit tube|Follow up with hCG(Serial serum quantitative titres)| || SuccessfulhCG rising or plateau or bleeding | Laparotomy Treatment of ectopic tubal pregnancy (ETP)", 'role': 'assistant'}]