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OBG · Postpartum haemorrhage: Bakri balloon test
Sample itemIn a Bakri balloon tamponade test for PPH, the test is considered positive when:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Bleeding stops after inflation of the balloon
A positive tamponade test means that bleeding stops and the woman avoids laparotomy, confirming atony or a lower segment source. A negative test, with continued bleeding, prompts surgical intervention. The balloon is usually left for 12 to 24 hours with an oxytocin infusion.
Option by option
A. Fever develops
Fever is unrelated to the test result.
B. The balloon cannot be inflated
Failure to inflate is a technical failure.
C. Bleeding increases
Increased bleeding is a negative test.
D. Bleeding stops after inflation of the balloon (correct)
Correct. Cessation of bleeding defines a positive test.
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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