Benign gynaecology: fibroid treatment: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Benign gynaecology: fibroid treatment

Sample item

A 30-year-old nulliparous woman with a 6 cm intramural fibroid and infertility wishes to preserve fertility. Which is the surgical treatment of choice?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Myomectomy

Myomectomy removes fibroids while conserving the uterus and is preferred when fertility is desired. GnRH agonists shrink fibroids before surgery but regrowth occurs after stopping. Embolisation is not recommended when future pregnancy is desired.

Option by option

  • A. Uterine artery embolisation as first choice

    Embolisation is not preferred for fertility.

  • B. Myomectomy (correct)

    Correct. Myomectomy preserves fertility.

  • C. Total abdominal hysterectomy

    Hysterectomy ends fertility.

  • D. Observation

    Symptomatic fibroid with infertility warrants treatment.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Myomectomy. Myomectomy removes fibroids while conserving the uterus and is preferred when fertility is desired.

Why is "Uterine artery embolisation as first choice" not the answer?

Embolisation is not preferred for fertility.

Why is "Total abdominal hysterectomy" not the answer?

Hysterectomy ends fertility.

Why is "Observation" not the answer?

Symptomatic fibroid with infertility warrants treatment.

What concept does this question test?

It tests Benign gynaecology: fibroid treatment in OBG. GnRH agonists shrink fibroids before surgery but regrowth occurs after stopping. Embolisation is not recommended when future pregnancy is desired.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Benign gynaecology: fibroid treatment?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.