| Statement |
Level of agreement (%) |
| Abdominal examination should be performed before the internal examination. It is best to begin by examining the quadrant where the patient is experiencing the least pain. (Rephrased) |
11(100) |
| Non-gynecologic causes of pain, such as gastrointestinal, should also be considered while performing the abdominal examination. |
10(90.9) |
| Pelvic examination and determination of uterine size with respect to gestational age should be identified if facility of ultrasound is not available. |
11(100) |
| Internal vaginal examination is recommended to be done by inserting a speculum into the vagina to assess the volume and source of bleeding. If blood clots are present, they can be removed with gauze sponges on sponge forceps. |
11(100) |
| Speculum examination is recommended as it may reveal a source of bleeding unrelated to pregnancy (i.e. vaginal laceration, vaginal warts, cervical polyps, fibroids...); in such cases, further evaluation depends upon the nature of the abnormality. |
10(90.9) |
| The source of bleeding should be investigated to exclude extra-vaginal bleeding. |
9(81.8) |
| It is recommended to check the cervix, if closed or not, and for any abnormality such as cervical erosion, polyps, and inflammation by internal vaginal examination. A closed internal cervical os is most consistent with threatened miscarriage, but not diagnostic. |
10(90.9) |
| Direct visualization of the gestational sac in a dilated internal cervical os is generally sufficient to conclude that early pregnancy loss is inevitable. |
9(81.8) |
| A vaginal swab is recommended in the presence or suspicion of vaginal infections. |
11(100) |
| HVS (High Vaginal Swab for culture sensitivity) is recommended in the presence or suspicion of vaginal infection. |
11(100) |
