Vaginal Bleeding in Obstetrics & Gynecology — 26yo Woman | General Gynecology | SMLE Q#540
SMLE Question #540
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 26-year-old woman, gravida 2 para 1, at 7 weeks’ gestation presents with vaginal bleeding and passage of tissue for several hours with mild lower abdominal cramps. Pelvic examination shows moderate vaginal bleeding with a closed cervical os. Transvaginal ultrasound shows echogenic tissue within the uterine cavity measuring 3 × 4 cm. What is the most appropriate next step in management?
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