10 Weeks Of Amenorrhea in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#473
SMLE Question #473
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 30-year-old G2P1 woman presents with 10 weeks of amenorrhea, severe nausea and vomiting, and vaginal spotting. Pelvic ultrasound shows diffuse echogenic intrauterine material with multiple small cystic spaces and no identifiable fetus. The uterus is larger than expected for gestational age, and serum b2-hCG is markedly elevated for dates. She is hemodynamically stable and wishes to preserve future fertility. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.