6 Hours Of Vaginal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1528
SMLE Question #1528
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old G2P1 woman at 7 weeks’ gestation by last menstrual period presents with 6 hours of vaginal spotting and left lower quadrant pain. She denies passage of tissue or clots. Pelvic examination shows a closed cervical os and mild left adnexal tenderness. Transvaginal ultrasonography shows no intrauterine gestational sac and no adnexal mass. What is the most appropriate diagnosis at this time?
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