Early pregnancy loss Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 36-year-old woman, gravida 3, para 2, at 6 weeks of gestation by last menstrual period presents to the emergency department with bleeding and menstrual-like cramping that has been getting progressively worse over the last 8 hours. The patient’s previous pregnancies were uncomplicated and delivered vaginally at term. Temperature is 36.5°C (97.8°F), pulse is 88/min, respirations are 16/min, and blood pressure is 118/78 mmHg. On speculum exam, the external cervical os is open, and a large blood clot is visible within the cervical canal. An ultrasound shows a 16 mm fluid collection containing a 5 mm echogenic ring within the uterus and a 2 cm simple unilocular cyst is seen in the left ovary; no fetal pole is seen. A serum beta-human chorionic gonadotropin (hCG) level is 2,600 mIU/mL. Which of the following should be discussed with the patient regarding her pregnancy?

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Laparoscopy may be required.

Pregnancy loss has already been completed.

Pregnancy loss is inevitable.

Suction dilation and curettage is needed.

It is too early to determine if the pregnancy will continue or not.