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Placenta previa — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Placenta previaUSMLE Step 3

A 32-year-old woman at 31 weeks' gestation has painless bright red vaginal bleeding. Abdomen is nontender and fetal heart tracing is reassuring. Prior ultrasound showed a low-lying placenta. Which of the following is the most likely diagnosis?

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Correct answer: DPlacenta previa

Painless third-trimester bleeding with low-lying placenta suggests placenta previa.

Reference: ACOG antepartum bleeding guidance