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
A pregnant woman at 34 weeks pregnancy, comes with bleeding PN, B. P. 80 : 
Select and explain. 
A. Examination in OT and termination of pregnancy, B. Blood transfusion, C. Observation, D. LSCS
B: Blood transfusion
Answer: B: Blood transfusion 
Explanation: Ans. is b i.e. Blood transfusion The question is incomplete. we cannot make any diagnosis with this much information only except that -- It could be a case of ante paum hemorrhage. If such a patient comes to the casualty, our first and foremost step will be to save the life of patient as patient's BP is 80 systolic i.e. patient is in shock. Blood transfusion to correct hypovolemia & replenish blood loss should be done. Extra Edge : Guide to adequate blood replacement.deg - Maintainence of central venous pressure at 10 cm of water.deg - Hernatocrit 30%deg - Urinary output 30 ml/hourdeg