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Postpartum endometritis — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Postpartum endometritisUSMLE Step 3

A 32-year-old woman develops fever, uterine tenderness, and foul-smelling lochia 3 days after cesarean delivery for arrest of dilation. Temperature is 38.8°C and heart rate is 112/min. The incision is clean and lungs are clear. Which of the following is the most appropriate next step in management?

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Correct answer: A — Start broad-spectrum intravenous antibiotics

Postpartum endometritis after cesarean delivery requires broad-spectrum intravenous antibiotics covering polymicrobial genital tract flora.

Reference: ACOG postpartum infection guidance: https://www.acog.org/