This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ectopic Pregnancy (Hello ! Where are you ?), Subject name: Gynaecology & Obstetrics
A twenty years old woman has been brought to casualty with history of acute pain in abdomen and bleeding per vaginum since 6 hrs . On examination, she is drowsy BP is 70/40 mm Hg, pulse rate 120/min. and a positive urine pregnancy test. She should be managed by :- 
Select and explain. 
A. Immediate laparotomy, B. Laparoscopy, C. Culdocentesis, D. Resuscitation followed by Medical management
A: Immediate laparotomy
Answer: A: Immediate laparotomy 
Explanation: The above history is suggestive of Ruptured ectopic. The management of this case is immediate laparotomy Laparoscopy should be employed only when the patient is hemodynamically stable