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
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 i.e. Immediate Surgical intervention is required Lets see each option one by one. Red Degeneration of fibroid commonly occurs during pregnancy. (Option "a" is thus correct) The pathogenesis of fibroid is obscure but the initial change appears to be one of sub acute necrosis which is presembly due to an interference with its blood supply. Some say that aerial or venous thrombosis is the basis of this and the lesion is the result of infarction. (Option "c" is thus correct). Red degeneration should be managed conservatively with bed rest and analgesics to relieve the pain. (option "d" is thus correct) There is no need for surgical intervention. For more details on Red Degeneration, refer answer 6