Antepartum hemorrhage: placental abruption: 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: placental abruption

Sample item

A patient with hypertension at 35 weeks has sudden abdominal pain, a tender hypertonic uterus, vaginal bleeding, and fetal distress. What is the most likely diagnosis?

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

The answer and the reasoning

C. Placental abruption

Placental abruption is premature separation of the placenta and commonly presents with painful bleeding, uterine tenderness or rigidity, and fetal compromise. Concealed hemorrhage can make visible bleeding underestimate severity.

Option by option

  • A. Vasa previa

    Vasa previa often presents after membrane rupture with fetal bleeding and acute fetal compromise.

  • B. Placenta previa

    Placenta previa causes bleeding that is usually painless.

  • C. Placental abruption (correct)

    Correct. Painful bleeding with uterine hypertonicity strongly supports abruption.

  • D. Cervical ectropion

    Cervical ectropion may bleed but does not cause a tender hypertonic uterus or fetal distress.

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, Placental abruption. Placental abruption is premature separation of the placenta and commonly presents with painful bleeding, uterine tenderness or rigidity, and fetal compromise.

Why is "Vasa previa" not the answer?

Vasa previa often presents after membrane rupture with fetal bleeding and acute fetal compromise.

Why is "Placenta previa" not the answer?

Placenta previa causes bleeding that is usually painless.

Why is "Cervical ectropion" not the answer?

Cervical ectropion may bleed but does not cause a tender hypertonic uterus or fetal distress.

What concept does this question test?

It tests Antepartum hemorrhage: placental abruption in OBG. Concealed hemorrhage can make visible bleeding underestimate severity.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: placental abruption?

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.