In a case of ectopic pregnancy, medical treatment is contraindicated if: (A) Sac size is 3.0 cm, (B) Serum HCG levels > 1500 miu/ml, (C) Significant hemoperitoneum is present, (D) Absent fetal activity
Answer is C. Indications for management of ectopic pregnancy medically.is 1) Ectopic mass <3.5cm 2) No fetal cardiac activity 3) Initial hCG <3000miu/l 4) The patient must be hemodynamically stable, with no signs or symptoms of active bleeding or hemoperitoneum. 5) She should not have any contraindications to the use of methotrexate.