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Fibroids — DRCOG MCQ

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ModerateGynaecologyFibroidsDRCOG

A 44-year-old woman has heavy periods and increasing pelvic pressure. Bimanual examination suggests a uterus equivalent to 14 weeks' size. She has no postcoital bleeding. What is the most appropriate investigation?

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Correct answer: D — Arrange pelvic ultrasound

Heavy menstrual bleeding with a palpable enlarged uterus suggests fibroids, and pelvic ultrasound is the most appropriate initial investigation. Cervical screening is not a diagnostic test for fibroids. hCG may be relevant if pregnancy is possible but would not assess uterine enlargement. Reassurance without imaging would miss structural pathology.

Reference: NICE NG88