Early pregnancy: miscarriage: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

OBG · Early pregnancy: miscarriage

Sample item

A patient at 9 weeks has vaginal bleeding and cramping. Ultrasound shows an intrauterine gestational sac with an embryo but no cardiac activity, meeting accepted nonviability criteria. What is the most likely diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Missed miscarriage

A missed miscarriage is nonviable intrauterine pregnancy retained in the uterus, often with absent embryonic cardiac activity on appropriately performed ultrasound. Management options depend on clinical stability and patient preference.

Option by option

  • A. Missed miscarriage (correct)

    Correct. A nonviable embryo retained in the uterus defines missed miscarriage.

  • B. Complete miscarriage

    Complete miscarriage has already expelled all products of conception.

  • C. Threatened miscarriage

    Threatened miscarriage has bleeding with a viable intrauterine pregnancy and closed cervix.

  • D. Ectopic pregnancy

    An ectopic pregnancy is implanted outside the uterine cavity.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Missed miscarriage. A missed miscarriage is nonviable intrauterine pregnancy retained in the uterus, often with absent embryonic cardiac activity on appropriately performed ultrasound.

Why is "Complete miscarriage" not the answer?

Complete miscarriage has already expelled all products of conception.

Why is "Threatened miscarriage" not the answer?

Threatened miscarriage has bleeding with a viable intrauterine pregnancy and closed cervix.

Why is "Ectopic pregnancy" not the answer?

An ectopic pregnancy is implanted outside the uterine cavity.

What concept does this question test?

It tests Early pregnancy: miscarriage in OBG. Management options depend on clinical stability and patient preference.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Early pregnancy: miscarriage?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.