8 Hours Of Lower in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17958

SMLE Question #17958

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-001

Last updated: February 2026
A 26-year-old G2P1 at 9 weeks’ gestation presents with 8 hours of lower abdominal cramping and vaginal bleeding. She reports passing tissue at home. Speculum examination shows an open cervical os with ongoing bleeding and tissue at the os. Bedside transvaginal ultrasound shows retained echogenic material within the uterine cavity with no fetal cardiac activity. What is the most likely type of abortion?

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