Repeated USMLE Questions Step 2 CK- 422

A 22-year-old G2P1 at 28 weeks gestation presents to the emergency room with heavy vaginal bleeding.

Which of the following is NOT recommended as the next step of action?

A- Admit the patient

B- Digital pelvic examination

C- Stabilize the patient

D- Ultrasound examination of the pelvis


Digital pelvic examination is contraindicated unless the ultrasound of the pelvis rules out placenta previa. The patient should be admitted and stabilized. Management should be directed according to the results of further workup.

The correct answer is B

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