Postpartum haemorrhage: community prevention: 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: community prevention

Sample item

Where oxytocin injection is unavailable at a home birth, what is the recommended dose of misoprostol for prevention of PPH by a trained health worker?

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

The answer and the reasoning

B. 600 mcg orally immediately after birth

WHO and Indian guidelines advise a single oral dose of 600 mcg misoprostol when oxytocin cannot be used, after exclusion of a second twin. Misoprostol is stable at room temperature. Side effects include shivering and fever.

Option by option

  • A. 50 mcg orally

    50 mcg is far too low.

  • B. 600 mcg orally immediately after birth (correct)

    Correct. 600 mcg orally is the standard preventive dose.

  • C. 100 mcg sublingual

    100 mcg is too low.

  • D. 1 g rectal after one hour

    1 g rectal is the dose used for treatment of atony in hospital.

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, 600 mcg orally immediately after birth. WHO and Indian guidelines advise a single oral dose of 600 mcg misoprostol when oxytocin cannot be used, after exclusion of a second twin.

Why is "50 mcg orally" not the answer?

50 mcg is far too low.

Why is "100 mcg sublingual" not the answer?

100 mcg is too low.

Why is "1 g rectal after one hour" not the answer?

1 g rectal is the dose used for treatment of atony in hospital.

What concept does this question test?

It tests Postpartum haemorrhage: community prevention in OBG. Misoprostol is stable at room temperature. Side effects include shivering and fever.

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 Postpartum haemorrhage: community prevention?

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.