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Placental abruption — ABEM Board MCQ

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ModerateOB/GYN emergenciesPlacental abruptionABEM Board

A 34-year-old woman at 32 weeks gestation arrives after a minor MVC with abdominal pain. Triage acuity is ESI 2; BP 104/62 mm Hg, HR 118/min. She has painful uterine contractions and dark vaginal bleeding. The uterus is firm and tender. Which of the following is the most likely diagnosis?

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Correct answer: EPlacental abruption

Painful bleeding with uterine tenderness and contractions after trauma is most consistent with placental abruption.

Reference: ACOG trauma in pregnancy guidance