Vaginal Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11445

SMLE Question #11445

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 25-year-old G2P1 at 10 weeks’ gestation presents with vaginal bleeding after passing clots and tissue at home. Her bleeding has markedly decreased, and cramping has largely resolved. Pelvic examination shows a closed cervical os and a uterus smaller than expected for gestational age. Transvaginal ultrasound shows an empty uterine cavity with mild endometrial thickening and no gestational sac. Which type of abortion best describes this presentation?

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