Symphysis pubis dysfunction — DRCOG MCQ

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EasyAntenatal CareSymphysis pubis dysfunctionDRCOG

A 34-year-old woman at 30 weeks has suprapubic pain worse on walking, turning in bed and climbing stairs. What is the most likely diagnosis?

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Correct answer: C — Pelvic girdle pain

Pelvic girdle pain is the best answer because the vignette is testing Symphysis pubis dysfunction and the recommended approach is consistent with NICE NG201. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Pre-eclampsia; Vulvovaginal candidiasis; Placental abruption; Placenta praevia would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG201