Labour: chorioamnionitis: 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 · Labour: chorioamnionitis

Sample item

A woman with prolonged rupture of membranes develops fever of 38.5 degrees C, maternal and fetal tachycardia, uterine tenderness and foul liquor. What is the management?

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

The answer and the reasoning

B. Start broad-spectrum IV antibiotics and expedite delivery

Clinical chorioamnionitis is treated with IV ampicillin and gentamicin (with clindamycin or metronidazole after caesarean) and delivery regardless of gestation. Caesarean is done only for obstetric reasons. Neonatal sepsis evaluation follows.

Option by option

  • A. Cervical cerclage

    Cerclage is for cervical insufficiency.

  • B. Start broad-spectrum IV antibiotics and expedite delivery (correct)

    Correct. Antibiotics and delivery are required.

  • C. Oral antibiotics and wait for spontaneous labour

    Oral therapy and waiting risks sepsis.

  • D. Tocolysis

    Tocolysis would prolong infection.

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, Start broad-spectrum IV antibiotics and expedite delivery. Clinical chorioamnionitis is treated with IV ampicillin and gentamicin (with clindamycin or metronidazole after caesarean) and delivery regardless of gestation.

Why is "Cervical cerclage" not the answer?

Cerclage is for cervical insufficiency.

Why is "Oral antibiotics and wait for spontaneous labour" not the answer?

Oral therapy and waiting risks sepsis.

Why is "Tocolysis" not the answer?

Tocolysis would prolong infection.

What concept does this question test?

It tests Labour: chorioamnionitis in OBG. Caesarean is done only for obstetric reasons. Neonatal sepsis evaluation follows.

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 Labour: chorioamnionitis?

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.