skip to main content

Gestational trophoblastic disease — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardEarly PregnancyGestational trophoblastic diseaseDRCOG

A 19-year-old woman has vaginal bleeding at 11 weeks. Ultrasound shows a heterogeneous intrauterine mass with no viable fetus, and serum hCG is markedly higher than expected for gestation. She has severe nausea. What is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: A — Hydatidiform mole

Markedly raised hCG, severe nausea and a heterogeneous intrauterine mass are typical of molar pregnancy. Threatened miscarriage would have a viable intrauterine pregnancy and does not explain very high hCG with this scan appearance. The pearl is that suspected gestational trophoblastic disease needs specialist follow-up after evacuation.

Reference: RCOG Green-top Guideline No. 38; NICE NG126