Sudden Severe Lower Abdominal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12157
SMLE Question #12157
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 29-year-old G2P1 at 33 weeks presents with sudden severe lower abdominal pain and moderate vaginal bleeding for 2 hours with dizziness. She is pale and diaphoretic. The uterus is firm and diffusely tender, and bleeding continues. Speculum shows ongoing bleeding. Cervix is 1 cm dilated, and she is not in active labor. Continuous CTG shows baseline 140/min with moderate variability and no decelerations. After 2 L crystalloid and 1 unit packed RBC, hypotension and bleeding persist. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.