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Fibroids with anaemia — DRCOG MCQ

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ModerateGynaecologyFibroids with anaemiaDRCOG

A 28-year-old woman has heavy periods, enlarged irregular uterus and haemoglobin 88 g/L. What is the most appropriate management?

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

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Correct answer: D — Start iron and arrange pelvic ultrasound

Start iron and arrange pelvic ultrasound is the best answer because the vignette is testing Fibroids with anaemia and the recommended approach is consistent with NICE NG88. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Arrange routine review in six weeks; Refer for routine gynaecology review; Prescribe oral metronidazole after self-swab; Advise rest and hydration at home would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE NG88