This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': 'A female has history of 6 weeks amenorrhea, USG shows empty sac, serum p-hCG 6500 lU/L. What would be next management? \nSelect and explain. \nA. Medical management, B. Repeat hCG after 48 hours, C. Repeat hCG after 1 weeks, D. Surgical management', 'role': 'user'}, {'content': 'Answer: A \nExplanation: If the uterine size is less than the 12 weeks of gestation,misoprostol tablets kept in the vagina usually results in spontaneous expulsion without the need for surgical intervention.Sometimes suction evacuation may be necessary.(refer pgno:147 sheila obstetrics 2 nd edition)', 'role': 'assistant'}]