Placental abruption — DRCOG MCQ

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HardLabourPlacental abruptionDRCOG

A 19-year-old woman in labour has painful vaginal bleeding, a tense tender uterus and fetal tachycardia. What is the most likely diagnosis?

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Correct answer: C — Placental abruption

Placental abruption is the best answer because the vignette is testing Placental abruption and the recommended approach is consistent with RCOG Green-top Guideline 63. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Pre-eclampsia; Arrange routine antenatal clinic review; Overactive bladder syndrome; Ovarian cancer would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: RCOG Green-top Guideline 63