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9940 Gynaecology & Obstetrics

A woman complains of excessive vomiting and mild vaginal bleeding for two weeks at a POA of 12 weeks. The fundal height corresponds of 16 weeks. The cervical os is closed. Ultrasound scan demonstrates a snowstorm appearance in part of the uterus together with a foetus. The crown-rump length corresponds to 10 weeks. The fetal heart beat is absent. What is the best management option?

ACarry out medical termination with vaginal misoprostol
BCarry out medical termination with an oxytocin infusion
CPerform suction evacuation
DPerform a total abdominal hysterectomy
Gynaecology & Obstetrics
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