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OBG · Postpartum infection
Sample itemA patient develops fever, uterine tenderness, and foul-smelling lochia after delivery; which postpartum condition is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Postpartum endometritis
Postpartum endometritis commonly presents with fever, uterine tenderness, malodorous lochia, and systemic symptoms after delivery, particularly following risk factors such as prolonged labour or cesarean birth.
Option by option
A. Otitis externa
Otitis externa is an ear-canal infection with no uterine features.
B. Postpartum endometritis (correct)
Correct: fever with tender uterus and foul lochia suggests postpartum endometritis.
C. Renal colic
Renal colic causes flank pain rather than foul lochia and uterine tenderness.
D. Chronic glaucoma
Glaucoma is an ocular condition unrelated to postpartum uterine infection.
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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