Step 1 Question of the Week: Public Health Sciences

public health sciences

This week’s edition of the Step 1 Question of the Week is about public health sciences.  See if you can answer the question and then watch the video to learn the correct answer as well as the rationales for each option.

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Public Health Sciences

A 34-year-old African-American woman (gravida 2, para 1) at 37 weeks’ gestation is brought to the emergency department because her water broke. She underwent a cesarean delivery for her first child. She is immediately taken to the labor and delivery room. After undergoing uncomplicated labor, she delivers a healthy baby boy vaginally. Immediately after the birth, the physician notices vaginal bleeding, but the patient does not report any pain. The physician notices that the delivered placenta is not intact and makes a presumptive diagnosis of placenta accreta. In order to stop the bleeding, the physician decides to perform a hysterectomy. During the operation, the physician accidentally severs a ureter despite properly identifying both ureters earlier in the procedure.

Which of the following most appropriately describes the error that occurred?

B.
C.
D.
E.
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