This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'A hypeensive pregnant woman at 34 weeks comes with history of pain in abdomen, bleeding per vaginum and loss of fetal movements. On examination the uterus is contracted with increased uterine tone. Fetal hea sounds are absent. Which of the following is the most likely diagnosis? \nSelect and explain. \nA. Polyhydramnios, B. Placenta pre, C. Premature labour, D. Abruptio placenta', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The patient in the question is suffering from abruption placentae mixed variety. Features of abruption placenta mixed variety includes acute intense abdominal pain followed by slight vaginal bleeding, severe pallor, tense tender and rigid uterus, difficult to make out fetal pas, absent fetal hea sounds, diminished urine output and markedly low hemoglobin. Ref: Textbook of Obstetrics By D.C.Dutta, 6th Edition, Pages 254-259', 'role': 'assistant'}]