Gynecology: leiomyoma: 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.

Try it

OBG · Gynecology: leiomyoma

Sample item

A patient has heavy menstrual bleeding, pressure symptoms, and an irregularly enlarged firm uterus. What is the most likely diagnosis?

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

The answer and the reasoning

D. Uterine leiomyomas

Leiomyomas are benign smooth-muscle tumors of the uterus and can cause heavy bleeding, pressure symptoms, infertility, or pregnancy complications. Management depends on symptoms, size, location, and reproductive goals.

Option by option

  • A. Pelvic inflammatory disease

    PID causes pelvic pain, tenderness, and infection signs.

  • B. Vaginal candidiasis

    Candidiasis causes vulvovaginal itch and discharge.

  • C. Endometriosis

    Endometriosis causes cyclic pain but not usually an irregular bulky uterus.

  • D. Uterine leiomyomas (correct)

    Correct. A firm irregularly enlarged uterus is typical of fibroids.

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, Uterine leiomyomas. Leiomyomas are benign smooth-muscle tumors of the uterus and can cause heavy bleeding, pressure symptoms, infertility, or pregnancy complications.

Why is "Pelvic inflammatory disease" not the answer?

PID causes pelvic pain, tenderness, and infection signs.

Why is "Vaginal candidiasis" not the answer?

Candidiasis causes vulvovaginal itch and discharge.

Why is "Endometriosis" not the answer?

Endometriosis causes cyclic pain but not usually an irregular bulky uterus.

What concept does this question test?

It tests Gynecology: leiomyoma in OBG. Management depends on symptoms, size, location, and reproductive goals.

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 Gynecology: leiomyoma?

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.