Early Pregnancy Loss Management Post Quiz 2025-26

1. A patient presents with a sure last menstrual period 9 weeks ago, and a positive home pregnancy test 5 weeks ago at the time of their first missed period. They report recent mild cramping and scant bleeding, and have had no prior ultrasounds this pregnancy. A transvaginal ultrasound shows an empty gestational sac with a mean sac diameter of 18 mm. You inform the patient the ultrasound findings are concerning for early pregnancy loss. Appropriate next steps includes:

2. Considerations for counseling on management options when a woman is experiencing early pregnancy loss include all of the following EXCEPT:

3. For which type(s) of early pregnancy loss is expectant management most successful?

4. Evidence-based dosing for treatment of early pregnancy loss includes:

5. One advantage of medication management over expectant management for EPL is

6. Patients diagnosed with EPL who have heterogeneous intrauterine material on follow-up ultrasound but report a history of passing the pregnancy tissue and have no continued bleeding always require uterine aspiration.

7. Which of the following is NOT true about second trimester pregnancy loss: