This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Clinical Features, Diagnosis, and Pathology, Subject name: Gynaecology & Obstetrics
Not true about Red degeneration of myomas is- 
Select and explain. 
A. It occurs commonly during pregnancy, B. Immediate surgical intervention is needed, C. Due to interference with blood supply, D. Treated with analgesics
B: Immediate surgical intervention is needed
Answer: B: Immediate surgical intervention is needed 
Explanation: Ans. is 'b' ie immediate surgical intervention needed Red degenerationis the most frequent* complication of myomas during pregnancy.The tumour assumes a peculiar purple red colour.It usually occurs due to thrombosis of large veins in the tumour.it has a peculiar fishy odour*Clinical featuresAcute onset of pain over the tumour*Malaise or even rise of temperature*Tenderness or rigidity over the tumourBlood count shows Leucocytosis*Rapid pulseConstipationTreatmentMainly conservative*Analgesics & sedativesAmpicillinThe symptoms usually clear off within 10 days.Surgery is not required even when laparotomy is done with mistaken diagnosis, abdomen is to be closed without doing anything.