EMQ — Extended Matching Question · Review
Question 209
Delivery suite → Haemorrhage
Classification
Question
EEMQAnswer Bank
Correct Answer
Explanation
APH may arise from local genital-tract pathology. A benign-appearing cervical ectropion that reproduces the bleeding on contact, together with reassuring maternal-fetal assessment and a normally located placenta, provides a plausible local source.
Option Validity
A) Placental abruption is not supported by the painless recurrent contact bleeding, soft uterus and reassuring fetal assessment.
B) Placenta praevia is not supported when placental location is normal.
C) Vasa praevia does not present as recurrent postcoital contact bleeding from a visible cervical lesion.
E) Cervical malignancy becomes a concern with a clinically suspicious lesion or relevant abnormal cervical history, neither of which is described.
F) Labour-related show is not specifically postcoital and is not reproduced by contact with an ectropion.
G) Vaginal trauma is not demonstrated on examination.
H) The bleeding need not be classified as unexplained when a plausible local source has been demonstrated.
Further Reading
RCOG Green-top Guideline No. 63. Antepartum Haemorrhage. Royal College of Obstetricians and Gynaecologists; 2011.