Professional and Linguistic Assessments Board (PLAB) Practice Exam

What is the preferred method for removing submucosal fibroids?

1. Abdominal hysterectomy

2. Hysteroscopic resection

3. Medications

4. Laparoscopic myomectomy

The correct answer is: Hysteroscopic resection

Hysteroscopic resection is regarded as the preferred method for removing submucosal fibroids because it allows for direct access to the fibroids through the cervix and into the uterus, minimizing damage to surrounding tissue. This technique utilizes a hysteroscope—a thin, lighted tube—which enables visualization and removal of the fibroids with specialized instruments. This approach is typically favored for submucosal fibroids, which protrude into the uterine cavity and are often associated with symptoms such as heavy menstrual bleeding and infertility. Additionally, this method offers several advantages, including reduced recovery time and less postoperative pain compared to more invasive surgical techniques like abdominal hysterectomy or laparoscopic myomectomy. Hysteroscopic resection is performed on an outpatient basis in many cases, allowing patients to return to normal activities more quickly. In contrast, abdominal hysterectomy involves removal of the entire uterus and is more invasive, making it less suitable when the goal is specifically to remove fibroids while preserving the uterus. Medications can manage symptoms but do not directly remove fibroids. Laparoscopic myomectomy is an option as well, but it is generally used for larger fibroids or those located in different areas of the uterus, not specifically