6 Hours Of Vaginal in Obstetrics & Gynecology — 27yo Woman | General Gynecology | SMLE Q#1546
SMLE Question #1546
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old woman, G2P1, at 7 weeks’ gestation presents with 6 hours of vaginal bleeding and mild lower abdominal cramping. Speculum examination shows tissue at the external cervical os, and the cervix is dilated. Transvaginal ultrasound shows gestational tissue low in the uterine cavity/cervical canal with no fetal cardiac activity. What is the most appropriate next step in management?
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