Antepartum hemorrhage: placenta previa: 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 · Antepartum hemorrhage: placenta previa

Sample item

At 32 weeks, a patient has painless bright-red vaginal bleeding and a soft nontender uterus. Which diagnosis is most likely?

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

The answer and the reasoning

C. Placenta previa

Placenta previa typically causes painless antepartum bleeding with a soft uterus. Digital vaginal examination should be avoided until placental location is known in significant bleeding.

Option by option

  • A. Placental abruption

    Abruption more often causes painful bleeding, uterine tenderness, and hypertonicity.

  • B. Chorioamnionitis

    Chorioamnionitis causes fever, uterine tenderness, and infection-related findings.

  • C. Placenta previa (correct)

    Correct. Painless bleeding is the classic presentation of placenta previa.

  • D. Uterine rupture

    Uterine rupture is associated with acute pain, fetal compromise, and loss of uterine integrity.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Placenta previa. Placenta previa typically causes painless antepartum bleeding with a soft uterus.

Why is "Placental abruption" not the answer?

Abruption more often causes painful bleeding, uterine tenderness, and hypertonicity.

Why is "Chorioamnionitis" not the answer?

Chorioamnionitis causes fever, uterine tenderness, and infection-related findings.

Why is "Uterine rupture" not the answer?

Uterine rupture is associated with acute pain, fetal compromise, and loss of uterine integrity.

What concept does this question test?

It tests Antepartum hemorrhage: placenta previa in OBG. Digital vaginal examination should be avoided until placental location is known in significant bleeding.

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 Antepartum hemorrhage: placenta previa?

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.