Threatened miscarriage — DRCOG MCQ

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ModerateEarly PregnancyThreatened miscarriageDRCOG

A 41-year-old woman at 7 weeks has bleeding, mild cramps, closed cervix and fetal heartbeat seen on scan. What is the most likely diagnosis?

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Correct answer: D — Threatened miscarriage

Threatened miscarriage is the best answer because the vignette is testing Threatened 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, Endometrial cancer; Placental abruption; Genital herpes; Physiological neonatal jaundice 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