This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
In a nulliparous woman, the treatment of choice in ruptured ectopic pregnancy is : 
Select and explain. 
A. Salpingectomy and end to end anastomosis, B. Salpingo-oophorectomy, C. Wait and watch, D. Linear salpingostomy
D: Linear salpingostomy
Answer: D: Linear salpingostomy 
Explanation: Ans. is d i.e. Linear salpingostomy In the question the patient is presenting with ruptured ectopic pregnancy therefore surgical management is a must (option "c" ruled out) Since, the patient is a nulliparous woman so we will avoid radical surgery in the form of salpingectomy or salpingo-oophorectomy as far as possible. Now the only option of conservative surgery given in the options is--Linear salpingostomy, so we will go with it. "The woman who is hemodynamically stable and strongly desires to preserve feility is an appropriate candidate for salpingostomy."