Postpartum haemorrhage: tamponade: 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: tamponade

Sample item

Atonic PPH continues despite oxytocin, ergometrine and carboprost. Which is the next step that is minimally invasive and preserves fertility?

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

The answer and the reasoning

C. Intrauterine balloon tamponade

A Bakri balloon or condom catheter tamponade, inflated with saline, tests whether bleeding stops (tamponade test). If it fails, surgical options such as B-Lynch compression suture, uterine artery ligation or hysterectomy follow. Uterine artery embolisation is another option where available.

Option by option

  • A. Immediate hysterectomy

    Hysterectomy is a last resort.

  • B. Wait and observe

    Observation risks death.

  • C. Intrauterine balloon tamponade (correct)

    Correct. Balloon tamponade is a conservative step.

  • D. Radiotherapy

    Radiotherapy has no role.

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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Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Intrauterine balloon tamponade. A Bakri balloon or condom catheter tamponade, inflated with saline, tests whether bleeding stops (tamponade test).

Why is "Immediate hysterectomy" not the answer?

Hysterectomy is a last resort.

Why is "Wait and observe" not the answer?

Observation risks death.

Why is "Radiotherapy" not the answer?

Radiotherapy has no role.

What concept does this question test?

It tests Postpartum haemorrhage: tamponade in OBG. If it fails, surgical options such as B-Lynch compression suture, uterine artery ligation or hysterectomy follow. Uterine artery embolisation is another option where available.

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: tamponade?

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.