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Gynaecology & Obstetrics Gestational Trophoblastic Disease 3d9c7b70

A 22 years old female underwent suction evacuation for molar pregnancy. Beta HCG levels are persistently high following evacuation. The next line of management is:

A
Follow up at 1 year
B
Monitor until HCG becomes 0
C
Hysterectomy
D
Methotrexate
High-Yield Explanation
Ans. is d, i.e. MethotrexatePersistently raised bhCG levels after H mole evacuation indicate the patient may develop GTN, and is an indication for Prophylactic methotrexate therapy.

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