Question 150 (part 2) · LEK · Gestational trophoblastic disease
Which of the following are true about hydatidiform mole:
1) excessive vomiting often occurs in pregnant women with hydatidiform mole;
2) the symptoms of hypothyroidism often occur in pregnant women with hydatidiform mole;
3) the diagnosis of complete hydatidiform mole is possible thanks to a characteristic ultrasound image;
4) about 20% of patients might develop persistent trophoblastic disease after having the uterus evacuated.
5) surgical treatment should not be provided in the case of hydatidiform mole; spontaneous evacuation of the uterus should be awaited.
The correct answer is:
2) the symptoms of hypothyroidism often occur in pregnant women with hydatidiform mole;
3) the diagnosis of complete hydatidiform mole is possible thanks to a characteristic ultrasound image;
4) about 20% of patients might develop persistent trophoblastic disease after having the uterus evacuated.
5) surgical treatment should not be provided in the case of hydatidiform mole; spontaneous evacuation of the uterus should be awaited.
The correct answer is:
- A. 1,2.
- B. 1,2,3.
- C. 1,2,4,5.
- D. 1,3,4.
- E. 2,3,4,5
Hint
Very high hCG explains the clinical picture of a mole; recall its effect on the thyroid and the standard method of uterine evacuation.
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