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Miscarriage — MCCQE Part 1 MCQ

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EasyVaginal BleedingMiscarriageMCCQE Part 1

A 38-year-old G2P1 at 8 weeks has vaginal bleeding, crampy pain. Open cervical os with tissue visible. Beta-hCG 12000. TVU: empty gestational sac, no fetal pole. Most likely diagnosis?

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Correct answer: C — Inevitable or incomplete miscarriage

Open os with tissue = inevitable/incomplete miscarriage. Threatened: closed os. Complete: empty uterus + closed os + declining hCG. Management: expectant, medical (misoprostol), or surgical.

Reference: SOGC Early Pregnancy Loss