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
In a woman with molar pregnancy with a uterine size of 28 weeks, the treatment of choice is: March 2013 
Select and explain. 
A. Medical induction with prostaglandins, B. Hysterotomy, C. Hysterectomy, D. Suction evacuation
D: Suction evacuation
Answer: D: Suction evacuation 
Explanation: Ans. D i.e. Suction evacuation Molar pregnancy Investigation of choice to diagnose H. mole: USG H. mole is associated with: - PIH, - Thyrotoxicosis, Hyperemesis Treatment of choice: Suction - evacuation Histological feature of H. mole: Hydropic degeneration Molar pregnancy is usually diagnosed in: 1st trimester