<prompt> A young lady with 6 weeks amenorrhea had nausea and vomiting with severe abdominal pain. Her BP was 10080 mm Hg. Examination revealed a 5 x 5 cm adnexal mass. What is the plan of management?Plan for immediate laparoscopic surgerybeta-hCGMethotrexateGive IV fluids, keep NPO and observe for 4-5 days  <response>: Ans: A. Plan for immediate laparoscopic surgery Ref: Dutta 8e. p215, 7e p180-182; 24e p3855Here adnexal mass size is 5 x 5 cm - Hence expectant management cannot be done.Patient is hemodynamically stable - Hence laparoscopic surgery is management of choice.Ectopic Pregnancy - Treatment:Laparoscopy:Preferred surgical treatment for ectopic pregnancy, unless hemodynamically unstable.Salpingostomy:Procedure of choice hemodynamically stable patient.Recommended surgical procedure for ampullary ectopic pregnancy.Retains feility.Salpingotomy: Not done nowadaysSegmental resection anastomosis: Done in isthmic pregnancyFimbrial expression: Done in distal ampullary pregnancy. 