Cord presentation — DRCOG MCQ

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

ModerateLabourCord presentationDRCOG

A 22-year-old woman has ruptured membranes and a pulsatile loop felt beside the presenting part before delivery. What is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: A — Cord prolapse

Cord prolapse is the best answer because the vignette is testing Cord presentation and the recommended approach is consistent with RCOG Green-top Guideline 50. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Postpartum endometritis; Offer intermittent auscultation in the community; Ectopic pregnancy; Overactive bladder syndrome 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 50