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Early pregnancy loss — MCCQE Part 1 MCQ

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ModerateVaginal BleedingEarly pregnancy lossMCCQE Part 1

A 34-year-old pregnant woman at 10 weeks has vaginal bleeding and cramping. Ultrasound shows an intrauterine pregnancy with crown-rump length 15 mm and no fetal cardiac activity; she is haemodynamically stable. Which of the following is the most appropriate counselling?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Discuss expectant, medical and surgical management options according to preference and clinical context

Confirmed early pregnancy loss in a stable patient can be managed expectantly, medically or surgically, guided by symptoms, preference and access. Methotrexate is for selected ectopic pregnancy, not intrauterine pregnancy loss. Follow-up is needed to ensure completion and address Rh status and emotional support.

Reference: SOGC early pregnancy loss guidance