Missed miscarriage — DRCOG MCQ

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EasyEarly PregnancyMissed miscarriageDRCOG

A 34-year-old woman at 11 weeks has mild spotting and ultrasound shows embryo with no heartbeat. What is the most likely diagnosis?

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Correct answer: E — Missed miscarriage

Missed miscarriage is the best answer because the vignette is testing Missed 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, Overactive bladder syndrome; Endometrial cancer; Placenta praevia; Adenomyosis 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