6 Hours Of Vaginal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1556
SMLE Question #1556
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old G2P1 woman at 8 weeks’ gestation presents with 6 hours of vaginal bleeding and crampy lower abdominal pain. She reports passage of tissue. Speculum examination shows an open cervical os with tissue in the cervical canal and moderate bleeding. Bimanual examination shows a uterus smaller than expected for gestational age. What is the most likely diagnosis?
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