Q:

A 24 year old 18 week pregnant lady presents with pain in her lower abdomen for the last 24h. She had painless vaginal bleeding. Exam: abdomen is tender, os is closed. What is the most probable dx?

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A 24 year old 18 week pregnant lady presents with pain in her lower abdomen for

the last 24h. She had painless vaginal bleeding. Exam: abdomen is tender, os is

closed. What is the most probable dx?


  1. Threatened miscarriage
  2. Inevitable miscarriage
  3. Incomplete miscarriage
  4. Missed miscarriage
  5. Spontaneous miscarriage

All Answers

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The key is A. Threatened miscarriage. [gestational age 18 weeks, lower abdominal pain, tender

abdomen, closed os and painless vaginal bleeding indicates threatened abortion].

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