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OBG · Placental disorders
Sample itemWhich feature favors placental abruption over placenta previa?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Painful bleeding with uterine tenderness
Placental abruption can cause painful bleeding, uterine tenderness, hypertonus, and fetal compromise because blood collects behind a prematurely separated placenta.
Option by option
A. Isolated visual acuity loss
Visual acuity loss is not the defining obstetric feature.
B. Painful bleeding with uterine tenderness (correct)
Correct: pain and uterine tenderness support abruption.
C. Painless bleeding with soft uterus
Painless bleeding and soft uterus are more typical of previa.
D. Absent maternal symptoms always
Abruption can cause substantial maternal and fetal symptoms.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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