Q:

A lady came for OBGYN assessment unit with history of 8 weeks pregnancy and bleeding per vagina for last 2 days. On bimanual examination, uterus 8wks in size. On speculum examination, cervical os is closed. How do you confirm the viability of the fetus?

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A lady came for OBGYN assessment unit with history of 8 weeks pregnancy and bleeding per vagina for last 2 days. On bimanual examination, uterus 8wks in size. On speculum examination, cervical os is closed. How do you confirm the viability of the fetus?


  1. Transvaginal US
  2. Serum BHCG
  3. Urinary BHCG
  4. Abdominal US
  5. Per speculum exam

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The key is A. Transvaginal US. [Viability of the fetus is better assessed with transvaginal US. TVU can be done throught pregnancy even if there is vaginal bleeding. It should be avoided once the membrane is ruptured to avoid chance of fetal infection].

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