Mild Lower Abdominal Pressure in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16476
SMLE Question #16476
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 29-year-old primigravida at 22 weeks’ gestation presents to the antenatal clinic with mild lower abdominal pressure and no vaginal bleeding. Abdominal examination shows a gravid uterus consistent with dates and fetal heart tones. Pelvic examination shows a soft, shortened cervix dilated to 1.5 cm with intact fetal membranes bulging into the cervical canal. There is no fever, uterine tenderness, foul discharge, or history suggesting retained products of conception. Which of the following is the most likely diagnosis?
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