Gynecological Disorders — MCQs

Gynecological Disorders Indian Medical PG Practice Questions and MCQs

Question 1211: Which of the following types of fibroids is most commonly found within the uterine wall?

A. Interstitial fibroids (Correct Answer)
B. Submucous fibroids
C. Pedunculated fibroids
D. Subserous fibroids

Explanation: ***Interstitial fibroids*** - **Interstitial fibroids**, also known as **intramural fibroids**, are located entirely within the muscular wall (myometrium) of the uterus. - They are the **most common type of uterine fibroid**, accounting for approximately **70% of all fibroids**. - They can enlarge the uterus or distort its shape. *Submucous fibroids* - **Submucous fibroids** project into the uterine cavity, growing directly beneath the endometrium. - They are often associated with **heavy menstrual bleeding** and can cause fertility issues. - They represent about **5-10% of all fibroids**. *Pedunculated fibroids* - **Pedunculated fibroids** are attached to the uterus by a stalk or pedicle. - They can be either **subserosal** (growing outward from the outer uterine surface) or **submucosal** (growing into the uterine cavity). - They are less common than intramural fibroids. *Subserous fibroids* - **Subserous (subserosal) fibroids** develop on the outer surface of the uterus, just beneath the serosa (outer covering). - They can grow outward and sometimes become **pedunculated**. - They represent about **40% of all fibroids**.

Question 1212: A 32-year-old woman with a history of molar pregnancy presents with heavy vaginal bleeding. Which of the following is a serious malignant complication of molar pregnancy?

A. Choriocarcinoma (Correct Answer)
B. Endometrial carcinoma
C. Cervical cancer
D. Benign ovarian cysts

Explanation: **Choriocarcinoma** - **Choriocarcinoma** is a highly malignant form of trophoblastic neoplasia that can arise after a **molar pregnancy**, especially a complete hydatidiform mole. - The persistent elevation of **human chorionic gonadotropin (hCG)** following a molar pregnancy is a key indicator for the development of choriocarcinoma. *Endometrial carcinoma* - **Endometrial carcinoma** is a cancer of the lining of the uterus and is typically associated with hormonal imbalances or genetic predispositions, not directly with molar pregnancy. - While both affect the uterus, they originate from different cell types: molar pregnancy complications arise from **trophoblasts**, whereas endometrial cancer arises from **endometrial glandular cells**. *Benign ovarian cysts* - **Benign ovarian cysts**, particularly **theca-lutein cysts**, can be associated with molar pregnancies due to excessive hCG stimulation of the ovaries. - However, these cysts are typically **benign** and resolve spontaneously after the molar pregnancy is treated, and are not a malignant complication like choriocarcinoma. *Cervical cancer* - **Cervical cancer** is caused primarily by persistent infection with **human papillomavirus (HPV)** and is not a direct complication of molar pregnancy. - The pathology and risk factors for **cervical cancer** are distinct from those associated with gestational trophoblastic disease.

Practice by Chapter

Abnormal Uterine Bleeding

Practice Questions

Endometriosis

Practice Questions

Adenomyosis

Practice Questions

Uterine Fibroids

Practice Questions

Ovarian Cysts

Practice Questions

Pelvic Inflammatory Disease

Practice Questions

Vulvovaginitis

Practice Questions

Pelvic Organ Prolapse

Practice Questions

Vulvar Disorders

Practice Questions

Benign Breast Diseases

Practice Questions

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