Postpartum care: secondary PPH: 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 care: secondary PPH

Sample item

Ten days after delivery, a patient develops fever, uterine tenderness, foul-smelling lochia, and increased bleeding. Which diagnosis is most likely?

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

The answer and the reasoning

D. Postpartum endometritis

Postpartum endometritis causes uterine tenderness, fever, malodorous lochia, and abnormal bleeding, particularly after prolonged labor or cesarean delivery. It requires prompt antimicrobial treatment and clinical assessment.

Option by option

  • A. Mastitis

    Mastitis causes focal breast pain, erythema, and systemic symptoms.

  • B. Postpartum psychosis

    Postpartum psychosis presents with severe psychiatric symptoms.

  • C. Pulmonary embolism

    Pulmonary embolism presents with cardiopulmonary symptoms, not foul lochia.

  • D. Postpartum endometritis (correct)

    Correct. The uterine and lochial findings point to endometrial 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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Postpartum endometritis. Postpartum endometritis causes uterine tenderness, fever, malodorous lochia, and abnormal bleeding, particularly after prolonged labor or cesarean delivery.

Why is "Mastitis" not the answer?

Mastitis causes focal breast pain, erythema, and systemic symptoms.

Why is "Postpartum psychosis" not the answer?

Postpartum psychosis presents with severe psychiatric symptoms.

Why is "Pulmonary embolism" not the answer?

Pulmonary embolism presents with cardiopulmonary symptoms, not foul lochia.

What concept does this question test?

It tests Postpartum care: secondary PPH in OBG. It requires prompt antimicrobial treatment and clinical assessment.

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 Postpartum care: secondary PPH?

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.