1 Day Of Mild in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#11593

SMLE Question #11593

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 30-year-old woman, G3P2, at 8 weeks’ gestation presents with 1 day of mild vaginal spotting with dark brown discharge and mild lower abdominal discomfort. She reports no passage of clots or tissue. Pelvic examination shows a closed cervical os with scant brown discharge and no active bleeding. The uterus is slightly enlarged and non-tender, with no adnexal mass or cervical motion tenderness. What is the most likely diagnosis?

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