EMQ

EMQ — Extended Matching Question · Review

Question 221

Delivery suite → Haemorrhage

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Type EEMQ

UUID 93f51c21-e761-4a0e-867d-fca69b81d79a

Classification

Speciality

Obstetrics and Gynaecology

Group

Clinical

Title

Delivery suite

Topic

Haemorrhage

Subtopic 1

Antepartum haemorrhage

Subtopic 2

Major haemorrhage

Subtopic 3

Coagulopathy

Question Type

EMQ

Question

EEMQ

Question Header

Question Stem

Normal initial haemoglobin makes major haemorrhage unlikely

Answer Bank

A Normal initial haemoglobin makes major haemorrhage unlikely

B Coagulation studies are unnecessary unless external blood loss exceeds 1 litre

C Concealed bleeding cannot cause clinically important coagulopathy

D Correction of coagulopathy should wait until after delivery

E Clinical severity can substantially exceed visible loss; repeated assessment and active correction of haemostatic abnormalities may be required

F A normal ultrasound removes the need for coagulation testing

G Platelet count alone adequately assesses haemostatic function

H Maternal stability at first assessment excludes subsequent deterioration

Correct Answer

E. Clinical severity can substantially exceed visible loss; repeated assessment and active correction of haemostatic abnormalities may be required

Explanation

Severe APH, particularly placental abruption, may involve concealed haemorrhage and coagulopathy. Visible loss can markedly underestimate total bleeding, while initial haemoglobin may be misleading in acute haemorrhage. Clinical reassessment, coagulation testing and appropriate blood-component therapy therefore form part of ongoing management.

Option Validity

A) Initial haemoglobin may remain relatively preserved despite substantial acute blood loss.

B) Significant coagulopathy can occur without a specified external blood-loss threshold.

C) Concealed abruption may be associated with substantial haemorrhage and coagulation disturbance.

D) Clinically important coagulopathy requires active management and should not simply await delivery.

F) Ultrasound cannot exclude abruption or its haemostatic consequences.

G) Assessment of coagulation requires more than platelet count alone.

H) APH can evolve rapidly, requiring repeated maternal assessment.

Source & metrics

Authored Difficulty

4.00

Evaluation Score

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Destination

eBook

Source

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Source Section

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Source Locator

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Updated

2026-10-06 01:57:35

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