This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Antepaum Haemorrhage, Subject name: Gynaecology & Obstetrics
[{'content': 'A 32 week pregnant lady presents in emergency room with continuous bleeding per vaginum. The uterus is painful and tender. Most likely diagnosis is: \nSelect and explain. \nA. Circumvallate placenta, B. Rupture of membranes, C. Placenta pre, D. Accidental hemorrhage', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The above mentioned symptoms are usually seen in antepaum Hemorrhage. Most common type of APH is Accidental hemorrhage also known as abruptio placentae (32 percent) , Placenta pre (21 percent), and cervical bleeding (6.6 percent). Abruption will have painful bleeding which is due to intravasation of blood into the uterine muscle ( Couvulaire uterus).', 'role': 'assistant'}]