Complete miscarriage — DRCOG MCQ

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ModerateEarly PregnancyComplete miscarriageDRCOG

A 31-year-old woman had heavy bleeding at 9 weeks followed by pain settling and an empty uterus on ultrasound. What is the most likely diagnosis?

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Correct answer: A — Complete miscarriage

Complete miscarriage is the best answer because the vignette is testing Complete miscarriage and the recommended approach is consistent with NICE NG126. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Uterine fibroids; Placenta praevia; Pelvic inflammatory disease; Vulvovaginal candidiasis would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG126