Puerperal Complications MCQ Quiz | Obstetrics

Welcome to this multiple-choice quiz on Puerperal Complications, a critical topic in Obstetrics for MBBS students. This quiz is designed to test your understanding of postpartum conditions such as hemorrhage, infections, thromboembolism, and psychiatric disorders. You will be presented with 25 questions, each with four possible answers. Carefully select the best option for each. After submitting your answers, your score will be displayed, and the correct answers will be highlighted for your review. This is an excellent tool for self-assessment and revision. You can also download a PDF copy of all questions and their correct answers for offline study. Good luck!

1. The most common cause of primary postpartum hemorrhage (PPH) is:

2. Puerperal pyrexia is defined as a temperature of 38°C (100.4°F) or higher on any two of the first ____ days postpartum, exclusive of the first 24 hours.

3. The most common causative organism in puerperal sepsis is:

4. A patient presents with fever, lower abdominal pain, and foul-smelling lochia on day 5 postpartum. The most likely diagnosis is:

5. Which of the following is NOT a component of Virchow’s triad, which predisposes to deep vein thrombosis (DVT)?

6. Sheehan’s syndrome is caused by postpartum pituitary necrosis, typically following:

7. Secondary postpartum hemorrhage is defined as excessive vaginal bleeding occurring between:

8. A breastfeeding mother develops a painful, wedge-shaped area of erythema on one breast, accompanied by fever and malaise. The most likely diagnosis is:

9. What is the first-line uterotonic agent for the prevention and treatment of PPH due to uterine atony?

10. A patient experiences sudden onset dyspnea, pleuritic chest pain, and tachycardia 10 days postpartum. What is the most critical diagnosis to exclude?

11. Which postpartum psychiatric disorder is considered a medical emergency?

12. The most common cause of secondary PPH is:

13. Which procedure involves placing a silicone balloon into the uterus and inflating it to control PPH by tamponade?

14. “Postpartum blues” is characterized by mood lability, tearfulness, and anxiety. It typically resolves within:

15. A boggy, soft uterus that is larger than expected for the number of days postpartum is a classic sign of:

16. The standard broad-spectrum antibiotic regimen for postpartum endometritis is:

17. Which of these is a significant risk factor for uterine inversion?

18. The Edinburgh Postnatal Depression Scale (EPDS) is a screening tool used to identify women with:

19. Active Management of the Third Stage of Labor (AMTSL) includes all of the following EXCEPT:

20. What is the definition of massive obstetric hemorrhage?

21. A major complication of untreated puerperal sepsis can be septic pelvic thrombophlebitis. A classic sign of this condition is:

22. Which uterotonic agent is contraindicated in patients with hypertension or pre-eclampsia?

23. Johnson’s maneuver is used to manage which obstetric emergency?

24. What is the most appropriate initial management for a breastfeeding woman with mastitis?

25. A failure of lactation, amenorrhea, and loss of pubic/axillary hair following a complicated delivery suggests: