3 Days Of Vaginal in Obstetrics & Gynecology — 29yo Woman | General Gynecology | SMLE Q#533
SMLE Question #533
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 29-year-old woman, G2P1, at 10 weeks’ gestation presents with 3 days of vaginal spotting and mild lower abdominal cramping. She has passed no clots or tissue. Speculum examination shows dark blood in the vaginal vault; the cervix is closed with no visible products of conception. Transvaginal ultrasound shows an intrauterine gestational sac with an embryo measuring 9 weeks and absent cardiac activity on repeated assessment. What is the most likely diagnosis?
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