Postpartum haemorrhage and emergencies: surgery for chronic 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.

Try it

OBG · Postpartum haemorrhage and emergencies: surgery for chronic inversion

Sample item

Which operation corrects chronic uterine inversion by an abdominal approach, dividing the posterior part of the constriction ring?

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

The answer and the reasoning

C. Haultain's operation

When manual replacement fails or the inversion is chronic, surgery is needed. Haultain's operation opens the abdomen and incises the posterior part of the cervical ring, and the fundus is then pushed up. Spinelli's is the vaginal analogue through the anterior ring, and Huntington's applies progressive traction with clamps.

Option by option

  • A. Huntington's operation

    Huntington's operation uses sequential traction on the fundus through the abdomen, without a ring incision.

  • B. Spinelli's operation

    Spinelli's operation reaches the ring through the vagina and divides the anterior wall.

  • C. Haultain's operation (correct)

    Correct. Haultain's operation cuts the posterior ring through an abdominal approach.

  • D. Manchester operation

    The Manchester operation is a repair for uterine prolapse and is not used for inversion.

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, Haultain's operation. When manual replacement fails or the inversion is chronic, surgery is needed.

Why is "Huntington's operation" not the answer?

Huntington's operation uses sequential traction on the fundus through the abdomen, without a ring incision.

Why is "Spinelli's operation" not the answer?

Spinelli's operation reaches the ring through the vagina and divides the anterior wall.

Why is "Manchester operation" not the answer?

The Manchester operation is a repair for uterine prolapse and is not used for inversion.

What concept does this question test?

It tests Postpartum haemorrhage and emergencies: surgery for chronic inversion in OBG. Haultain's operation opens the abdomen and incises the posterior part of the cervical ring, and the fundus is then pushed up. Spinelli's is the vaginal analogue through the anterior ring, and Huntington's applies progressive traction with clamps.

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 haemorrhage and emergencies: surgery for chronic 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.