Obstetric emergencies: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Obstetric emergencies

Sample item

Which presentation is most consistent with placental abruption?

AItchy vulval dischargeBGradual pelvic pressure onlyCPainless bright-red bleeding at termDPainful vaginal bleeding with a tender uterus

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Painful vaginal bleeding with a tender uterus

Placental abruption commonly causes painful bleeding, uterine tenderness or hypertonus, and may cause fetal compromise even when external bleeding is limited.

Option by option

A. Itchy vulval discharge
Itchy discharge suggests local infection or irritation.
B. Gradual pelvic pressure only
Pressure alone does not identify abruption.
C. Painless bright-red bleeding at term
Painless bleeding is more typical of placenta praevia.
D. Painful vaginal bleeding with a tender uterus (correct)
Correct: pain and tender hypertonic uterus favour abruption.

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.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Painful vaginal bleeding with a tender uterus. Placental abruption commonly causes painful bleeding, uterine tenderness or hypertonus, and may cause fetal compromise even when external bleeding is limited.

Why is "Itchy vulval discharge" not the answer?

Itchy discharge suggests local infection or irritation.

Why is "Gradual pelvic pressure only" not the answer?

Pressure alone does not identify abruption.

Why is "Painless bright-red bleeding at term" not the answer?

Painless bleeding is more typical of placenta praevia.

What concept does this question test?

It tests Obstetric emergencies in OBG. The correct option holds because: Correct: pain and tender hypertonic uterus favour abruption.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Obstetric emergencies?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.