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Abnormal uterine bleeding fibroids — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Abnormal uterine bleeding fibroidsUSMLE Step 3

A 44-year-old woman has heavy regular menses and pelvic pressure for 1 year. Uterus is enlarged and irregular on bimanual examination. Pregnancy test is negative. Hemoglobin is 10.6 g/dL. Transvaginal ultrasound shows multiple well-circumscribed myometrial masses. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Uterine leiomyomas

Heavy regular bleeding, bulk symptoms, enlarged irregular uterus, and myometrial masses are typical of fibroids.

Reference: ACOG Management of Symptomatic Uterine Leiomyomas