18 Weeks Of Amenorrhea in Obstetrics & Gynecology — 17yo Child | General Gynecology | SMLE Q#11288
SMLE Question #11288
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 17-year-old girl presents with 18 weeks of amenorrhea, severe nausea and vomiting, and 2 weeks of vaginal spotting. She had a positive home pregnancy test 2 months ago and denies passage of tissue. Examination shows a uterus larger than expected for dates, and fetal heart tones are not detected. Transvaginal ultrasound shows diffuse intrauterine echogenic material with multiple small cystic spaces and no identifiable embryo or fetal pole. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.