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Heavy Menstrual Bleeding / Puberty Menorrhagia โ€” UPSC CMS MCQs (Obstetrics & Gynaecology) · 3 questions

2021 P1 Q56

Q1. A 20-year-old young girl presents with heavy menstrual bleeding, petechiae on her arms and blood blisters in mouth. Her complete blood count shows hemoglobin 7 gm/dL, total leucocyte count 8,700 cells/ฮผL and platelet count of 6,000/ฮผL with peripheral smear showing large platelets. Which is likely the best initial drug treatment for this patient?

  1. High dose glucocorticoids
  2. High dose glucocorticoids with IVIgG
  3. High dose glucocorticoids with Rituximab
  4. IVIgG with anti-Rho

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 86

2021 P2 Q63

Q2. Which one of the following is the most important haematological condition to be ruled out while investigating a case of puberty menorrhagia?

  1. Anaemia
  2. Coagulation disorder
  3. G-6PD deficiency
  4. Leukemia

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 126

2022 P2 Q43

Q3. Heavy menstrual bleeding is a common presentation in which of the following? 1. Clotting factor deficiency 2. Fibroid uterus 3. Adenomyosis 4. Prolactinoma Select the correct answer using the code:

  1. 1, 2 and 3
  2. 1, 2 and 4
  3. 1, 3 and 4
  4. 2, 3 and 4

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 187

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