A 32-year-old gravida 2 para 1 at 34 weeks has painless vaginal bleeding after membrane rupture. Fetal tracing shows sudden bradycardia with

Question

A 32-year-old gravida 2 para 1 at 34 weeks has painless vaginal bleeding after membrane rupture. Fetal tracing shows sudden bradycardia with sinusoidal pattern. She has a known velamentous cord insertion. Which of the following is the most likely diagnosis?

Accepted Answer

Vasa previa

Answer

Cervical ectropion

Answer

Placenta accreta

Answer

Uterine rupture

Answer

Gestational trophoblastic disease

Vasa previa — USMLE Step 3 MCQ

A 32-year-old gravida 2 para 1 at 34 weeks has painless vaginal bleeding after membrane rupture. Fetal tracing shows sudden bradycardia with sinusoidal pattern. She has a known velamentous cord insertion. Which of the following is the most likely diagnosis?