EMQ — Extended Matching Question · Review
Question 210
Delivery suite → Haemorrhage
Classification
Question
EEMQAnswer Bank
Correct Answer
Explanation
A clinically suspicious friable cervical lesion with recurrent postcoital bleeding and previous abnormal cytology requires colposcopic evaluation. APH is not always placental, and cervical malignancy must be considered when the cervical appearance and history are suspicious.
Option Validity
A) Placental abruption does not explain the visible suspicious cervical lesion and recurrent postcoital pattern.
B) Placenta praevia is not supported by the documented normal placental location.
C) Vasa praevia is associated particularly with bleeding around membrane rupture and fetal compromise.
D) Physiological ectropion should not be assumed when the cervix is irregular and friable with abnormal previous cytology.
F) Labour-related show does not explain the suspicious cervical lesion.
G) Vaginal trauma is not demonstrated and would not account for the abnormal cervical cytology history.
H) The bleeding should not be labelled unexplained when a suspicious cervical source has been identified.
Further Reading
RCOG Green-top Guideline No. 63. Antepartum Haemorrhage. Royal College of Obstetricians and Gynaecologists; 2011.