1 Day Of Mild in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18073
SMLE Question #18073
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old G2P0 woman at 7 weeks’ gestation by last menstrual period presents with 1 day of mild vaginal spotting and lower abdominal cramping. She has no passage of tissue, dizziness, or syncope. Speculum and bimanual examination show a closed cervix. Transvaginal ultrasound shows an intrauterine gestational sac without a visible embryonic heartbeat. Which of the following is the most likely diagnosis?
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