Postpartum haemorrhage: surgical: 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: surgical

Sample item

The B-Lynch procedure is used in the management of:

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

The answer and the reasoning

D. Refractory atonic PPH, as a uterine compression suture

The B-Lynch brace suture compresses the uterus longitudinally to arrest bleeding in atonic PPH after caesarean section or laparotomy. It preserves the uterus. Stepwise devascularisation and hysterectomy follow if it fails.

Option by option

  • A. Cervical cancer

    Cervical cancer needs oncological surgery.

  • B. Ectopic pregnancy

    Ectopic pregnancy is managed by salpingectomy or methotrexate.

  • C. Stress incontinence

    Stress incontinence is treated with slings.

  • D. Refractory atonic PPH, as a uterine compression suture (correct)

    Correct. It is a compression suture for atony.

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 D, Refractory atonic PPH, as a uterine compression suture. The B-Lynch brace suture compresses the uterus longitudinally to arrest bleeding in atonic PPH after caesarean section or laparotomy.

Why is "Cervical cancer" not the answer?

Cervical cancer needs oncological surgery.

Why is "Ectopic pregnancy" not the answer?

Ectopic pregnancy is managed by salpingectomy or methotrexate.

Why is "Stress incontinence" not the answer?

Stress incontinence is treated with slings.

What concept does this question test?

It tests Postpartum haemorrhage: surgical in OBG. It preserves the uterus. Stepwise devascularisation and hysterectomy follow if it fails.

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: surgical?

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.