EMQ

EMQ — Extended Matching Question · Review

Question 268

Delivery suite → Haemorrhage

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Type EEMQ

UUID 34a00770-a28c-49a4-9ab4-5ec836d69373

Classification

Speciality

Obstetrics and Gynaecology

Group

Clinical

Title

Delivery suite

Topic

Haemorrhage

Subtopic 1

Antepartum haemorrhage

Subtopic 2

Placental abruption

Subtopic 3

Previous abruption recurrence risk

Question Type

EMQ

Question

EEMQ

Question Header

Question Stem

A 34-year-old G4P2 at 30+5 weeks presents with a small APH. She is haemodynamically stable and fetal assessment is reassuring. Her first pregnancy was uncomplicated. Her second pregnancy required emergency delivery at 35 weeks following a clinically diagnosed placental abruption. In the current pregnancy she conceived using assisted reproduction, smokes five cigarettes daily and has recently developed hypertension. The registrar reviews which feature of her history most strongly increases the risk of placental abruption.

Answer Bank

A Assisted reproduction

B Maternal age over 30 years

C Previous placental abruption

D Cigarette smoking

E Current hypertension

F Multiparity

G Previous preterm birth itself

H Current gestational age

Correct Answer

C. Previous placental abruption

Explanation

A previous placental abruption is the strongest historical predictor of recurrence among the factors presented. Smoking, hypertension, assisted reproduction and increasing maternal age are recognised associations, but a previous abruption confers particularly important recurrence risk. The question requires prioritisation of risk rather than simply recognition that several listed factors are associated with abruption.

Option Validity

A) Assisted reproduction is associated with abruption but is not the strongest factor presented.

B) Increasing maternal age may contribute to risk but is less important than a previous abruption.

D) Smoking is a recognised risk factor but does not outweigh the recurrence significance of previous abruption.

E) Hypertension is important but previous abruption remains the strongest historical predictor here.

F) Multiparity is associated with risk but is less discriminating than previous abruption.

G) Previous preterm birth alone is not equivalent to a previous placental abruption.

H) Gestational age does not provide the strongest recurrence-risk information.

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3.00

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Updated

2026-10-06 01:57:35

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