skip to main content

Placenta previa — MCCQE Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateVaginal BleedingPlacenta previaMCCQE Part 1

A 35-year-old pregnant woman at 32 weeks has painless bright red vaginal bleeding. The uterus is soft and non-tender, fetal heart rate is reassuring, and prior ultrasound showed a low-lying placenta. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Avoid digital vaginal examination and assess with ultrasound and obstetric consultation

Painless bleeding in late pregnancy with low-lying placenta suggests placenta previa, and digital vaginal examination can provoke catastrophic bleeding. Ultrasound and obstetric assessment guide management. Methotrexate and home induction are inappropriate.

Reference: SOGC placenta previa guidance; provincial obstetric emergency pathways