Preterm birth: PPROM: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Preterm birth: PPROM

Sample item

At 31 weeks, a patient has a sudden gush of clear fluid and ongoing leakage, but no contractions. What is the likely diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Preterm prelabor rupture of membranes

Preterm prelabor rupture of membranes is membrane rupture before labor and before 37 weeks. Evaluation includes confirmation of membrane rupture, assessment for infection and fetal status, and gestation-specific management.

Option by option

  • A. Urinary incontinence only

    Urinary leakage is a differential but does not explain confirmed amniotic fluid.

  • B. Cervical cancer

    Cervical cancer does not cause an acute fluid gush.

  • C. Placental abruption

    Abruption usually causes pain, bleeding, and uterine tenderness.

  • D. Preterm prelabor rupture of membranes (correct)

    Correct. Membrane rupture before labor at 31 weeks defines PPROM.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Preterm prelabor rupture of membranes. Preterm prelabor rupture of membranes is membrane rupture before labor and before 37 weeks.

Why is "Urinary incontinence only" not the answer?

Urinary leakage is a differential but does not explain confirmed amniotic fluid.

Why is "Cervical cancer" not the answer?

Cervical cancer does not cause an acute fluid gush.

Why is "Placental abruption" not the answer?

Abruption usually causes pain, bleeding, and uterine tenderness.

What concept does this question test?

It tests Preterm birth: PPROM in OBG. Evaluation includes confirmation of membrane rupture, assessment for infection and fetal status, and gestation-specific management.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Preterm birth: PPROM?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.