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MRCOG PART 2 SBAs and EMQs

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EMQ1462
SBA2091
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EMQ

EMQ Posted by Jamil Ahmad A.

Dear paul,  Ques---A healthy 23 year old woman attends the emergency gynaecology clinic because of vaginal bleeding at 7 weeks gestation. She is haemodynamically stable and the cervical os is open on clinical examination. Ultrasound scan shows a complete molar pregnancy. 

Ans-- Suction evac without cervical preparation.

Doubt-- The latest RCOG guideline says cervix can be primed. Please clarify.