Which rectal dose of Cytotec is used for uterine atony?

• A. 800-1000 mcg rectally
• B. 200 mcg rectally
• C. 1000 mg rectally
• D. 50 mcg rectally

Answer: (A)

The key idea is using misoprostol as a uterotonic for uterine atony, delivered rectally for reliable and rapid effect. The best answer is a single rectal dose of 800–1000 micrograms because this range is the standard therapeutic amount that effectively stimulates uterine contractions to control postpartum hemorrhage when atony is the cause. The rectal route provides steady absorption and is convenient in the postpartum setting, especially when IV access or other routes may be limited. Some guidelines allow repeating the dose if bleeding persists, but the initial dose is typically 800–1000 mcg rectally.

The other options don’t fit because 200 mcg is below the effective range for treating atony, 1000 mg rectally is an incorrect unit and not used for misoprostol, and 50 mcg rectally is far too small to achieve the necessary uterotonic effect.