skip to main content

Preterm premature rupture of membranes — MCCQE Part 1 MCQ

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

ModeratePregnancy ComplicationsPreterm premature rupture of membranesMCCQE Part 1

A 34-year-old G3P2 at 28 weeks has a sudden gush of clear fluid. No contractions or bleeding. Speculum: pooling of clear fluid. Nitrazine+, ferning present. GBS unknown. Most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Admit, betamethasone, erythromycin, expectant management

PPROM at 28 weeks: corticosteroids + antibiotics (erythromycin x10d) + expectant management until 34 weeks. NO digital exam (infection risk). MgSO4 for neuroprotection if delivery anticipated <32 weeks.

Reference: SOGC PPROM Guideline