30-year-old Woman in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#502

SMLE Question #502

Obstetrics & Gynecology General Gynecology
Last updated: February 2026
A 30-year-old woman attends a clinic 2 weeks after a spontaneous pregnancy loss at 7 weeks’ gestation. This was her first pregnancy. She smokes 20 cigarettes daily and did not take folic acid or other prenatal supplements before or during pregnancy. She has no chronic medical conditions, prior uterine surgery, or known thrombophilia, and there is no family history of recurrent pregnancy loss. Physical examination is unremarkable. What is the most likely cause of her early pregnancy loss?

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