Postpartum hemorrhage: uterine inversion: 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: uterine inversion

Sample item

Immediately after delivery, a patient has severe pelvic pain, hemorrhage, shock disproportionate to visible loss, and a vaginal mass. What diagnosis is likely?

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

The answer and the reasoning

B. Uterine inversion

Uterine inversion occurs when the uterine fundus collapses inward and may protrude through the cervix or vagina. It causes profound shock and hemorrhage and requires immediate replacement and resuscitation.

Option by option

  • A. Ectopic pregnancy

    Ectopic pregnancy is an early-pregnancy emergency.

  • B. Uterine inversion (correct)

    Correct. Acute postpartum mass with pain and shock is classic inversion.

  • C. Placenta previa

    Placenta previa occurs before delivery as painless bleeding.

  • D. Ovarian cyst

    Ovarian cyst does not cause this immediate postpartum collapse.

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 B, Uterine inversion. Uterine inversion occurs when the uterine fundus collapses inward and may protrude through the cervix or vagina.

Why is "Ectopic pregnancy" not the answer?

Ectopic pregnancy is an early-pregnancy emergency.

Why is "Placenta previa" not the answer?

Placenta previa occurs before delivery as painless bleeding.

Why is "Ovarian cyst" not the answer?

Ovarian cyst does not cause this immediate postpartum collapse.

What concept does this question test?

It tests Postpartum hemorrhage: uterine inversion in OBG. It causes profound shock and hemorrhage and requires immediate replacement and resuscitation.

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: uterine inversion?

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.