This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'True about H mole:a) Always associated with raised uterine size for gestational ageb) Raised hCGc) Hysterectomy in selected casesd) Chemotherapy is the treatment of choicee) Thyrotoxicosis rare \nSelect and explain. \nA. ab, B. bc, C. bce, D. ace', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Lets have a look at each option separately -\nOption ‘a’: Always asociated with raised uterine size for gestational age.\nThis statement is incorrect as :\n“The size of the uterus is more than that expected for the period of amenorrhea in 70%, corresponds with the period of amenorrhea in 20% and smaller than the period of amenorrhea in 10%.”\nDutta Obs. 7/e, p 193\nOption ‘b’: Raised hCG - H. mole is characterised by raised levels of hCG (levels > 105 MIU/ml)\nDutta Obs. 7/e, p 193\nOption ‘c’: Hysterectomy in selected cases :\nManagement of H.mole :\n\nTOC in H. mole – Suction evacuation followed by gentle but thorough currettage.\nHysterectomy – It is indicated only in case of :\n\n\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 – Female has completed her family\n\nHysterotomy – Indicated in cases complicated by haemorrhage.\n\nSo, option ‘c’ i.e. hysterectomy is done in selected cases is correct whereas option ‘d’ i.e. chemotherapy is the TOC is incorrect.\nOption ‘e’:\nAs far as thyrotoxicosis is concerned :\nIt is seen in only 2% cases of H.mole. It is rare (so, option ‘e’ is correct).\n“Clinically apparent thyrotoxicosis is unusual.”\nWilliam 23/e, p 260', 'role': 'assistant'}]