Gynaecological oncology: uterine artery embolisation: 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 · Gynaecological oncology: uterine artery embolisation

Sample item

A 40-year-old with symptomatic 6 cm fibroids has completed her family and wishes to avoid hysterectomy. Which minimally invasive treatment obliterates the blood supply of the fibroids?

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

The answer and the reasoning

D. Uterine artery embolisation

Uterine artery embolisation is done through the femoral artery and occludes the uterine arteries with particles, which shrinks the fibroids. It is a uterus-sparing option for women who do not want fertility. It is not recommended when a woman wishes to conceive.

Option by option

  • A. Myolysis by hysteroscopy

    Hysteroscopic procedures treat submucous fibroids only.

  • B. Endometrial ablation

    Endometrial ablation treats the lining only and does not treat large intramural fibroids.

  • C. High-dose oral progestins

    Progestins control bleeding but do not shrink fibroids reliably.

  • D. Uterine artery embolisation (correct)

    Correct. Embolising the uterine arteries starves the 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 artery embolisation. Uterine artery embolisation is done through the femoral artery and occludes the uterine arteries with particles, which shrinks the fibroids.

Why is "Myolysis by hysteroscopy" not the answer?

Hysteroscopic procedures treat submucous fibroids only.

Why is "Endometrial ablation" not the answer?

Endometrial ablation treats the lining only and does not treat large intramural fibroids.

Why is "High-dose oral progestins" not the answer?

Progestins control bleeding but do not shrink fibroids reliably.

What concept does this question test?

It tests Gynaecological oncology: uterine artery embolisation in OBG. It is a uterus-sparing option for women who do not want fertility. It is not recommended when a woman wishes to conceive.

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 Gynaecological oncology: uterine artery embolisation?

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.