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Uterine leiomyomas — ABFM Board MCQ

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ModerateWomen's health/OB/GYNUterine leiomyomasABFM Board

A 46-year-old woman reports heavy menstrual bleeding and pelvic pressure. Bimanual examination reveals an enlarged irregular uterus. Pregnancy test is negative and hemoglobin is 10.2 g/dL. 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: B — Uterine leiomyomas

Heavy bleeding with pelvic pressure and an enlarged irregular uterus is typical of uterine leiomyomas. Adenomyosis more often causes a uniformly enlarged tender uterus.

Reference: ACOG Uterine Leiomyomas Guidance