Question

A 26-year-old primigravida at 8 weeks gestation presents with vaginal bleeding and pelvic pain. On ultrasound, there is an intrauterine gestational sac with no fetal heartbeat identified. Which of the following is most suggestive of a miscarriage that is inevitable or in progress?

Accepted Answer

D. Open cervical os with tissue visible at cervical canal

Answer

A. Closed cervical os, normal uterus size

Answer

B. No fetal pole on transvaginal scan but rising beta-hCG

Answer

C. Closed cervical os, no significant bleeding

Answer

E. Presence of subchorionic haematoma but viable fetus

Practice question

A 26-year-old primigravida at 8 weeks gestation presents with vaginal bleeding and pelvic pain. On ultrasound, there is an intrauterine gestational sac with no fetal heartbeat identified. Which of the following is most suggestive of a miscarriage that is inevitable or in progress?