6 Hours Of Light in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#10941

SMLE Question #10941

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old G2P0 woman at approximately 7 weeks gestation presents with 6 hours of light vaginal bleeding and intermittent crampy left lower quadrant pain. Pelvic examination shows a closed cervical os, scant blood in the vault, and mild left adnexal tenderness without a palpable mass. Transvaginal ultrasound shows no intrauterine gestational sac and no obvious extrauterine gestation. What is the most likely diagnosis at this time?

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