Postpartum haemorrhage: tranexamic acid: 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.

Try it

OBG · Postpartum haemorrhage: tranexamic acid

Sample item

Tranexamic acid should be given for the treatment of PPH:

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

The answer and the reasoning

B. 1 g IV as soon as possible and within 3 hours of birth

In the WOMAN trial, tranexamic acid 1 g IV given within 3 hours of delivery reduced death due to bleeding. A second dose is given if bleeding continues after 30 minutes. It is given in addition to usual care, regardless of the cause.

Option by option

  • A. 10 g IV after 24 hours

    Late and very high doses are inappropriate.

  • B. 1 g IV as soon as possible and within 3 hours of birth (correct)

    Correct. Early IV tranexamic acid reduces mortality.

  • C. Only in non-atonic bleeding

    It is used for all causes of PPH.

  • D. Orally after 6 hours

    Oral dosing delays effect.

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, 1 g IV as soon as possible and within 3 hours of birth. In the WOMAN trial, tranexamic acid 1 g IV given within 3 hours of delivery reduced death due to bleeding.

Why is "10 g IV after 24 hours" not the answer?

Late and very high doses are inappropriate.

Why is "Only in non-atonic bleeding" not the answer?

It is used for all causes of PPH.

Why is "Orally after 6 hours" not the answer?

Oral dosing delays effect.

What concept does this question test?

It tests Postpartum haemorrhage: tranexamic acid in OBG. A second dose is given if bleeding continues after 30 minutes. It is given in addition to usual care, regardless of the cause.

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: tranexamic acid?

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.