Placental disorders: accreta spectrum: 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 · Placental disorders: accreta spectrum

Sample item

A patient with placenta previa and multiple prior cesarean deliveries has ultrasound features of abnormal placental invasion. Which complication is most anticipated at delivery?

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

The answer and the reasoning

A. Massive obstetric hemorrhage requiring planned multidisciplinary care

Placenta accreta spectrum is abnormally adherent or invasive placentation, strongly associated with previa over a uterine scar. Delivery can cause major hemorrhage and should be planned in an experienced multidisciplinary center.

Option by option

  • A. Massive obstetric hemorrhage requiring planned multidisciplinary care (correct)

    Correct. Hemorrhage risk drives planned specialist delivery.

  • B. Maternal hypoglycemia only

    Hypoglycemia is not the central maternal risk.

  • C. Spontaneous resolution of the placenta

    Abnormally invasive placenta does not reliably separate spontaneously.

  • D. Neonatal pyloric stenosis

    Pyloric stenosis is unrelated to placental invasion.

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 A, Massive obstetric hemorrhage requiring planned multidisciplinary care. Placenta accreta spectrum is abnormally adherent or invasive placentation, strongly associated with previa over a uterine scar.

Why is "Maternal hypoglycemia only" not the answer?

Hypoglycemia is not the central maternal risk.

Why is "Spontaneous resolution of the placenta" not the answer?

Abnormally invasive placenta does not reliably separate spontaneously.

Why is "Neonatal pyloric stenosis" not the answer?

Pyloric stenosis is unrelated to placental invasion.

What concept does this question test?

It tests Placental disorders: accreta spectrum in OBG. Delivery can cause major hemorrhage and should be planned in an experienced multidisciplinary center.

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 Placental disorders: accreta spectrum?

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.