This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ecotopic Pregnancy, Subject name: Gynaecology & Obstetrics
A woman complains of right-sided lower abdominal pain and mild bleeding per vagina after a POA of 6 weeks. Her general condition is satisfactory. The urine hCG test is positive. Transvaginal ultrasound scan reveals an adnexal mass 30 mm in diameter without evidence of cardiac activity, but no intrauterine pregnancy.What is the most appropriate management? 
Select and explain. 
A. Perform laparoscopic salpingectomy, B. Perform laparoscopic salpingo-oophorectomy, C. Perform laparoscopic salpingotomy, D. Treat with intramuscular methotrexate
D: Treat with intramuscular methotrexate
Answer: D: Treat with intramuscular methotrexate 
Explanation: Ans. is d, i.e. Treat with intramuscular methotrexateIn this case, the ectopic is unrupturedSize = 3 cmNo evidence of cardiac activityAll favour medical management with methotrexate.