1) When does secondary postpartum hemorrhage occur? a) Within 24 hours after delivery b) From 24 hours up to 12 weeks after delivery 2) Which is the first choice of drug for PPH? a) Misoprostol b) Oxytocin 3) Which factor is a risk for PPH? a) Multiple pregnancy b) Precipitate labour 4) Which investigation helps detect retained placenta? a) MRI b) Ultra sound scan 5) Which uterotonic drug is contraindicated in hypertension a) Ergometrine b) Misoprostol 6) What is the first fluid used for IV resuscitation in PPH? a) Normal Saline b) Crystalloids (normal saline/Ringer’s lactate 7) What is the best prevention method for PPH? a) Active management of third stage of labour b) Prolonged bed rest 8) What is the main cause of uterine atony? a) Overdistension of the uterus b) Short umbilical cord 9) Which surgical procedure may be the last resort for uncontrolled PPH? a) Hysterectomy b) Myomectomy 10) What complication can result from untreated severe PPH? a) Hypertension b) Hypovolemic shock

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