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OBG · Obstetric emergencies: maternal sepsis
Sample itemA postpartum woman has fever, tachycardia, hypotension and foul-smelling lochia. What is the key time target for antibiotics?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Within one hour of recognising sepsis
Maternal sepsis is a medical emergency. IV broad-spectrum antibiotics (for example piperacillin-tazobactam or a combination covering streptococci, gram-negatives and anaerobes) should be given within one hour, along with fluids, cultures and source control.
Option by option
A. Within one hour of recognising sepsis (correct)
Correct. The target is within one hour.
B. After culture results
Waiting for cultures delays treatment.
C. Within 6 hours
6 hours increases mortality.
D. Within 24 hours
24 hours is far too late.
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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