Early pregnancy: molar pregnancy: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Early pregnancy: molar pregnancy

Sample item

A patient has vaginal bleeding, uterus larger than dates, markedly elevated hCG, severe nausea, and ultrasound showing diffuse echogenic intrauterine material without a viable fetus. What is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Hydatidiform mole

A complete hydatidiform mole may cause very high hCG, uterine enlargement, hyperemesis, bleeding, and a characteristic ultrasound appearance. Evacuation and serial hCG surveillance are required.

Option by option

  • A. Threatened miscarriage

    Threatened miscarriage has a viable or potentially viable intrauterine pregnancy with bleeding.

  • B. Ovarian torsion

    Torsion causes acute unilateral pelvic pain rather than diffuse intrauterine abnormality.

  • C. Placenta previa

    Placenta previa presents later in pregnancy with painless bleeding.

  • D. Hydatidiform mole (correct)

    Correct. The clinical and ultrasound findings suggest gestational trophoblastic disease.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Hydatidiform mole. A complete hydatidiform mole may cause very high hCG, uterine enlargement, hyperemesis, bleeding, and a characteristic ultrasound appearance.

Why is "Threatened miscarriage" not the answer?

Threatened miscarriage has a viable or potentially viable intrauterine pregnancy with bleeding.

Why is "Ovarian torsion" not the answer?

Torsion causes acute unilateral pelvic pain rather than diffuse intrauterine abnormality.

Why is "Placenta previa" not the answer?

Placenta previa presents later in pregnancy with painless bleeding.

What concept does this question test?

It tests Early pregnancy: molar pregnancy in OBG. Evacuation and serial hCG surveillance are required.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Early pregnancy: molar pregnancy?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.