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True/False MCQ · Antepartum Haemorrhage

Regarding the distinction between placenta praevia and abruption, which of the following statements are TRUE?

Decide whether each statement is true or false.

  1. AAbruption causes painful bleeding with a tender uterus
  2. BPraevia causes a tender, woody uterus
  3. CPraevia causes painless bleeding with a soft uterus
  4. DAbruption is diagnosed by avoiding all examination
  5. EBoth always cause fully revealed bleeding
Show answers and explanation
  • A. True
  • B. False: A tender, woody uterus indicates abruption, not praevia.
  • C. True
  • D. False: Abruption is diagnosed clinically with appropriate examination.
  • E. False: Abruption bleeding may be concealed, not always revealed.

Praevia versus abruption

  • Praevia: painless, soft uterus.
  • Abruption: painful, tender/woody uterus; bleeding may be concealed.
Why A is true

Abruption causes painful bleeding with a tender uterus.

Why B is false

A tender, woody uterus indicates abruption, not praevia.

Why C is true

Praevia causes painless bleeding with a soft uterus.

Why D is false

Abruption is diagnosed clinically with appropriate examination, not by avoiding all examination.

Why E is false

Abruption bleeding may be concealed, not always revealed.

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