Fibroid uterus is associated with all of the following except?

Appeared in: PGIMS Rohtak NO - 2017

Explanation

Uterine fibroids (leiomyomas) are not associated with an increased likelihood of multiple pregnancies (e.g., twins, triplets).
There is no physiological mechanism by which fibroids promote multiple ovulations or the implantation of multiple embryos.
Conversely, fibroids are linked to subfertility and an increased risk of miscarriage, making pregnancy more difficult to achieve and maintain, which is the opposite of causing multiple pregnancies.

Option A: This is incorrect because Menorrhagia (heavy menstrual bleeding) is a classic and very common symptom of uterine fibroids.
Option B: This is incorrect because Infertility is a known potential complication of uterine fibroids.
Option D: This is incorrect because Dysmenorrhoea (painful periods) is a common complaint among women with fibroids.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical manifestations and complications of uterine fibroids (leiomyomas) as background academic context rather than a clinical decision trigger.
Nurses must be aware of the common symptoms of fibroids (abnormal bleeding, pain, pressure, infertility) to effectively assess and triage patients in gynecological settings.
Patient education is a key nursing role. It's important to reassure patients that fibroids are benign but require monitoring, and to explain how they can impact menstrual health and fertility.
A key safety consideration is recognizing that heavy bleeding (menorrhagia) can lead to significant anemia, requiring assessment of hemoglobin/hematocrit levels and potential iron supplementation.

How to Approach the Question

First, identify that this is a negative-framing question because it uses the word 'except'. This means you need to find the one option that is NOT true.
Next, identify the core subject of the question, which is 'Fibroid uterus' and its associations.
Systematically evaluate each option by asking: 'Is [option] associated with uterine fibroids?'
Recall or deduce the common symptoms of fibroids: heavy bleeding (Menorrhagia), pain (Dysmenorrhoea), and problems with conception (Infertility). This confirms three of the options are true associations.
Evaluate the remaining option, 'Multiple pregnancy'. Consider if there is any logical reason a fibroid would cause twins or more. There isn't; in fact, they hinder fertility.
Conclude that 'Multiple pregnancy' is the false statement and therefore the correct answer to the 'except' question.

Concept Tested & Keywords

Concept Tested: Clinical manifestations and complications of uterine fibroids (leiomyomas).
Stem keywords: Fibroid uterus, associated with
Lead-in keywords: except
Negative lead-in flag: Question asks for the exception.

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E6 Gynecology Williams p. 216-260

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 67-81

Practise the full PGIMS Rohtak NO - 2017

Attempt every question from this paper in a timed mock, then review the full solution for each one.