1 Day Of Lower in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1131

SMLE Question #1131

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old G2P1 woman at 10 weeks’ gestation presents with 1 day of lower abdominal cramping and vaginal bleeding with passage of tissue. Pelvic examination shows moderate bleeding with tissue in the vaginal canal and at the cervical os, and the cervix is dilated to 3 cm. The uterus is slightly enlarged and tender. Transvaginal ultrasound shows echogenic material within the uterine cavity. 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.

Related questions