Heavy Vaginal Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12220
SMLE Question #12220
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 45-year-old multiparous woman presents with heavy vaginal bleeding for 15 days after a missed period, passing large clots, with dizziness and marked fatigue. She is pale. Pelvic examination shows brisk uterine bleeding; the uterus is slightly enlarged and nontender. IV access has been established and crystalloid resuscitation started. What is the most appropriate next step in management?
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