Large symptomatic fibroid — DRCOG MCQ

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ModerateGynaecologyLarge symptomatic fibroidDRCOG

A 22-year-old woman has heavy bleeding, pressure symptoms and a 16-week-size fibroid uterus. When should this patient be referred?

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Correct answer: B — Refer to specialist care to discuss procedural options

Refer to specialist care to discuss procedural options is the best answer because the vignette is testing Large symptomatic fibroid and the recommended approach is consistent with NICE NG88. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer to emergency gynaecology care; Refer urgently for safeguarding assessment; Refer same day to the maternity assessment unit; Refer to sexual assault referral services would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: NICE NG88