Chorioamnionitis — DRCOG MCQ

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EasyLabourChorioamnionitisDRCOG

A 28-year-old woman has prolonged rupture of membranes, fever, uterine tenderness and offensive liquor. What is the most likely diagnosis?

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Correct answer: A — Intra-amniotic infection

Intra-amniotic infection is the best answer because the vignette is testing Chorioamnionitis and the recommended approach is consistent with NICE NG235; NICE NG51. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Threatened miscarriage; Endometriosis; Placenta praevia; Bacterial vaginosis would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG235; NICE NG51