Postpartum hemorrhage: retained placenta: 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: retained placenta

Sample item

After birth, the placenta has not delivered and heavy bleeding continues despite a firm uterus. Which cause of postpartum hemorrhage is most likely?

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

The answer and the reasoning

C. Retained placental tissue

The four Ts of postpartum hemorrhage include tone, trauma, tissue, and thrombin. A firm uterus with undelivered placenta and bleeding points toward tissue, such as retained placenta.

Option by option

  • A. Uterine atony

    Atony causes a boggy poorly contracted uterus.

  • B. Deep-vein thrombosis

    DVT does not cause uterine hemorrhage.

  • C. Retained placental tissue (correct)

    Correct. Retained tissue prevents normal placental separation and contraction at the implantation site.

  • D. Uterine inversion only

    Inversion causes a mass and severe pain or shock, not simply an undelivered placenta.

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.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Retained placental tissue. The four Ts of postpartum hemorrhage include tone, trauma, tissue, and thrombin.

Why is "Uterine atony" not the answer?

Atony causes a boggy poorly contracted uterus.

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

DVT does not cause uterine hemorrhage.

Why is "Uterine inversion only" not the answer?

Inversion causes a mass and severe pain or shock, not simply an undelivered placenta.

What concept does this question test?

It tests Postpartum hemorrhage: retained placenta in OBG. A firm uterus with undelivered placenta and bleeding points toward tissue, such as retained placenta.

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: retained placenta?

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.