Postpartum haemorrhage and emergencies: uterine artery embolisation: 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 haemorrhage and emergencies: uterine artery embolisation

Sample item

A haemodynamically stable woman continues to bleed after vaginal delivery despite uterotonics, and has lost 1500 mL. An interventional radiology service is available. Which option is suitable?

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

The answer and the reasoning

C. Selective pelvic arterial embolisation, preserving the uterus

Embolisation of the uterine or internal iliac arteries can control haemorrhage while preserving fertility when the woman is stable and expertise is available. An unstable patient needs surgery. Hysterectomy remains the final option when other measures fail.

Option by option

  • A. Repeat curettage without imaging

    Blind curettage without a cause identified is not appropriate and may injure the uterus.

  • B. Hysterectomy as the only option

    Hysterectomy is a last resort and not the only option in a stable woman.

  • C. Selective pelvic arterial embolisation, preserving the uterus (correct)

    Correct. Embolisation suits a stable woman and conserves the uterus.

  • D. Observation with oxytocin alone

    Oxytocin alone has already failed and observation risks further loss.

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, Selective pelvic arterial embolisation, preserving the uterus. Embolisation of the uterine or internal iliac arteries can control haemorrhage while preserving fertility when the woman is stable and expertise is available.

Why is "Repeat curettage without imaging" not the answer?

Blind curettage without a cause identified is not appropriate and may injure the uterus.

Why is "Hysterectomy as the only option" not the answer?

Hysterectomy is a last resort and not the only option in a stable woman.

Why is "Observation with oxytocin alone" not the answer?

Oxytocin alone has already failed and observation risks further loss.

What concept does this question test?

It tests Postpartum haemorrhage and emergencies: uterine artery embolisation in OBG. An unstable patient needs surgery. Hysterectomy remains the final option when other measures fail.

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 haemorrhage and emergencies: uterine artery embolisation?

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.