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Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 69 Topic 7 Discussion

Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 69 Topic 7 Discussion

MCCQE Exam Topic 7 Question 69 Discussion:
Question #: 69
Topic #: 7

A 26-year-old woman, gravida 2, para 2, aborta 0, has just delivered a full-term newborn via spontaneous vaginal delivery after 4 hours of labor. Following oxytocin administration and placental expulsion, there continues to be a steady trickle of bright red blood from her vagina. On examination, the placenta is intact and the fundus feels firm. Her vital signs are within normal range.

Which one of the following is the most likely diagnosis?


A.

Uterine atony


B.

Vaginal or cervical tear


C.

Retained products of conception


D.

Uterine rupture


E.

Disseminated intravascular coagulopathy


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