No Blood in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17855
SMLE Question #17855
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-450
Last updated: February 2026
A 17-year-old primigravida presents for her first prenatal visit. Her last menstrual period was 5 weeks ago, and a home pregnancy test is positive. She has no vaginal bleeding, abdominal pain, fever, or passage of tissue. Pelvic examination shows a closed cervical os with no blood in the vaginal vault and no cervical motion tenderness. Transvaginal ultrasound shows an intrauterine gestational sac with no visible embryo or cardiac activity. Which of the following is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.