Postpartum hemorrhage: 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 · Postpartum hemorrhage

Sample item

Following vaginal delivery, a patient has heavy bleeding and a boggy enlarged uterus. What is the most likely cause of postpartum hemorrhage?

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

The answer and the reasoning

C. Uterine atony

Uterine atony is the most common cause of postpartum hemorrhage and presents with a poorly contracted boggy uterus. Immediate management includes uterine massage, uterotonics, resuscitation, and escalation for ongoing bleeding.

Option by option

  • A. Retained urine only

    Bladder distension can impair contraction but is not the primary diagnosis here.

  • B. Deep-vein thrombosis

    DVT does not cause uterine bleeding.

  • C. Uterine atony (correct)

    Correct. A boggy uterus is the key clinical clue to atony.

  • D. Cervical cancer

    Cervical cancer does not cause acute postpartum uterine bogginess.

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, Uterine atony. Uterine atony is the most common cause of postpartum hemorrhage and presents with a poorly contracted boggy uterus.

Why is "Retained urine only" not the answer?

Bladder distension can impair contraction but is not the primary diagnosis here.

Why is "Deep-vein thrombosis" not the answer?

DVT does not cause uterine bleeding.

Why is "Cervical cancer" not the answer?

Cervical cancer does not cause acute postpartum uterine bogginess.

What concept does this question test?

It tests Postpartum hemorrhage in OBG. Immediate management includes uterine massage, uterotonics, resuscitation, and escalation for ongoing bleeding.

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 Postpartum hemorrhage?

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.