Laparoscopic myomectomy: A review of alternatives, techniques, and controversies

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Question 1 of 4

1. Question
1. Regarding use of ulipristal acetate all are true except
- A. It’s a progesterone receptor modulator which shrinks fibroids
- B. Not to commence ulipristal in women with known liver impairment,
- C. Need to monitor patients’ liver function before, during and after treatment
- D. Patients who are eligible for surgical treatment can receive a maximum of three courses
- E. Patients who are ineligible for surgical treatment may receive more than one course.
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Question 2 of 4

2. Question
2. Relative contraindications to MRgFUS include all except
- A. Concomitant adenomyosis
- B.>10 cm fibroids
- C. Submucosal fibroids
- D. ≥ 5 fibroids
- E. Posterior uterine wall incisional scars
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Question 3 of 4

3. Question
3. A 50-year-old from Ghana has presented with Large intramural fibroid measuring 10×8 cm. She has presented with menorrhagia. The risk of this woman having leiomyosarcoma and it’s evaluation all are true except
- A. In addition to increasing age, other risk factors for leiomyosarcoma include African origin,
- B. History of pelvic radiation
- C. History of hereditary predisposition to uterine cancer (e.g. Lynch syndrome).
- D. Woman with risk factors should have detailed preoperative work-up to gauge their risk, which may include serum lactate dehydrogenase, endometrial biopsy, ultrasound,
- E. MRI- It is important to note that this can definitively exclude leiomyosarcoma
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Question 4 of 4

4. Question
4. 26-year-old pregnant woman has undergone laparoscopic myomectomy for a large intramural fibroid indenting endometrium, 2 years back. She is now at 36 weeks pregnancy and she is here to discuss her delivery plan. She wants to know the risk of uterine rupture in labour
- A. 0.5%
- B. 1%.
- C. 2%
- D. 2.5%
- E. There is no increased risk
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Laparoscopic myomectomy: A review of alternatives, techniques, and controversies

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