USMLE Step 2 Quiz
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OBSTETRICS AND GYNECOLOGY
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A 28-year-old G1P0 woman at 36 weeks gestation is in active labor. Her membranes spontaneously rupture, which is immediately followed by a large gush of painless vaginal bleeding. The fetal heart rate, which was previously stable at a baseline of 140/min, abruptly drops to 70/min and remains there despite maternal repositioning.
Which of the following is the most likely diagnosis?
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