<prompt> In a nulliparous woman, the treatment of choice in ruptured ectopic pregnancy is:Salpingectomy and end to end anastomosisSalpingo-oophorectomyWait and watchLinear salpingostomy  <response>: Ans. is a, i.e. Salpingectomy and end to end anastomosisRef Dutta Obs 7e, p 185In the question the patient is presenting with ruptured ectopic pregnancy therefore surgical management is a must and we have to do laparotomy. option c ruled outAlways remember- In ruptured ectopic, the tube is already damaged so the only surgery which has to be done is Salpingectomy, whether the patient is a youngold or whether she is nulliparous or multiparous. Their is no role of Salpingostomy i.e. option d ruled out. As discussed in previous question in case of ectopic pregnancy salpingo oophorectomy is never done i.e. option b ruled out. 