This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gestational Trophoblastic Disease, Subject name: Gynaecology & Obstetrics
[{'content': 'A 30-year-old female complains of vaginal bleeding for 2 weeks. A diagnosis of H mole is made by ultrasound scanning. Suction evacuation is performed and the diagnosis of a complete H mole is confirmed by HPE of curettings.What is the most appropriate next step in the management? \nSelect and explain. \nA. Give 1/m methotrexate daily for 5 days, B. Perform hysterectomy, C. Perform serum b-hCG levels weekly till the test becomes negative, D. Perform curettage after 2 weeks', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Ans. is c, i.e. Perform serum b-hCG levels weekly till the test becomes negativeBest T/t for H mole is suction evacuation. No need for:1. Hysterectomy after it to give methotrexate if patient is not high risk.2. Best is to follow-up with weekly hCG.', 'role': 'assistant'}]