Repeated USMLE Questions Step 2 CK- 314

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

Which of the following is contraindicated as the next step of action?

A-Digital pelvic examination

B-Ultrasound examination of the pelvis

C-Admit the patient

D-Stabilize the patient






Answer:

Digital pelvic examination is contraindicated unless ultrasound of the pelvis rules out placenta previa. The patient should be admitted and stabilized.

The correct answer is A