Puerperal sepsis — DRCOG MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: C — Start sepsis assessment and urgent admission
Start sepsis assessment and urgent admission is the best answer because the vignette is testing Puerperal sepsis and the recommended approach is consistent with NICE NG51; NICE NG194. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Advise oral analgesia and routine follow-up; Prescribe oral metronidazole after self-swab; Start topical oestrogen treatment; Refer for routine gynaecology review would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: NICE NG51; NICE NG194