Obstetric emergencies: genital tract trauma: 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 · Obstetric emergencies: genital tract trauma

Sample item

A firm, contracted uterus with continuous bright red bleeding after a vaginal delivery points most likely to:

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

The answer and the reasoning

C. Cervical or vaginal tear

Continuous bleeding with a well-contracted uterus indicates trauma, such as cervical, vaginal or perineal lacerations. Examination in good light under anaesthesia and repair is required. Atony produces a soft, boggy uterus.

Option by option

  • A. Uterine atony

    Atony gives a boggy uterus.

  • B. Retained placenta

    Retained placenta gives intermittent bleeding with incomplete placenta.

  • C. Cervical or vaginal tear (correct)

    Correct. A contracted uterus with bleeding implies trauma.

  • D. Coagulopathy

    Coagulopathy gives non-clotting blood from several sites.

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, Cervical or vaginal tear. Continuous bleeding with a well-contracted uterus indicates trauma, such as cervical, vaginal or perineal lacerations.

Why is "Uterine atony" not the answer?

Atony gives a boggy uterus.

Why is "Retained placenta" not the answer?

Retained placenta gives intermittent bleeding with incomplete placenta.

Why is "Coagulopathy" not the answer?

Coagulopathy gives non-clotting blood from several sites.

What concept does this question test?

It tests Obstetric emergencies: genital tract trauma in OBG. Examination in good light under anaesthesia and repair is required. Atony produces a soft, boggy uterus.

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 Obstetric emergencies: genital tract trauma?

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.