Puerperal Complications MCQ Quiz | Obstetrics

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: