Active Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11443
SMLE Question #11443
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 25-year-old G2P1 woman at 7 weeks’ gestation presents after passing tissue, followed by 6 hours of moderate vaginal bleeding and crampy lower abdominal pain. Speculum examination shows an open cervical os with active bleeding and tissue at the os. Transvaginal ultrasound shows heterogeneous material in the endometrial cavity with no identifiable gestational sac and a thickened endometrium. What is the most likely type of spontaneous abortion?
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