Quiz on Uterine Fibroids

A pregnant woman with fibroid uterus develops acute pain in abdomen with low-grade fever and mild leukocytosis at 28 weeks. The most likely diagnosis is:

• Preterm labor

• Torsion of fibroid

• Red degeneration of fibroid

• Infection in fibroid

• Hyaline degeneration

True statements about red degeneration of myoma uteri are:

• It occurs commonly during pregnancy

• Immediate surgical intervention is needed

• Caused by interference with blood supply

• Treated with analgesics

• Calcification is a frequent feature

Red degeneration in uterine fiboid is most common in:

• Second trimester

• Third trimester

• Puerperium

• First trimester

• intrapartum

Methods of treatment of myoma uteri are:

• Myomectomy

• Radiofrequency ablation

• Embolization of uterine artery

• Laser myomectomy

• Hysterectomy

A 29-year-old nulliparous women complains of severe menorrhagia and lower abdominal pain during last 3 months. On examination there was a 14 weeks size uterus with fundal fibroid. The treatment of choice is:

• Myomectomy

• GnRH analogs

• Hysterectomy

• Wait and watch

• Embolization of uterine artery

Uterine fibromyoma is associated with:

• Endometriosis

• Pelvic inflammatory disease

• Dysmenorrhea

• Amenorrhea

• Heavy menstrual bleeding

Submucosal fibroid is detected by:

• Hysteroscopy

• Hystersalpingography

• USG

• Laparascopy

• Manual examination

Drugs which reduce the size of myoma are:

• GnRH agonists

• Danazol

• Progesterone

• Mifepristone

• Estrogens

Preferred management options in a 26-year-old woman with 7x8cm size fibroid are:

• Follow-up

• OCP

• Myomectomy

• Hysterectomy

• Danazol

True statements regarding fibroid uteri are:

• Estrogen dependent tumor

• Capsulated

• Can lead to red degeneration in pregnancy for which urgent surgery is required

• Danazol used in treatment

• Estrogen independent tumor