Fibroids — DRCOG MCQ

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EasyGynaecologyFibroidsDRCOG

A 67-year-old woman has heavy bleeding, pressure symptoms and an enlarged irregular uterus. What is the most likely diagnosis?

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Correct answer: E — Uterine fibroids

Uterine fibroids is the best answer because the vignette is testing Fibroids and the recommended approach is consistent with NICE NG88. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Endometriosis; Chlamydia infection; Placental abruption; Postpartum endometritis would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG88