True about H mole:a) Always associated with raised uterine size for gestational ageb) Raised hCGc) Hysterectomy in selected casesd) Chemotherapy is the treatment of choicee) Thyrotoxicosis rare
Lets have a look at each option separately -
Option ‘a’: Always asociated with raised uterine size for gestational age.
This statement is incorrect as :
“The size of the uterus is more than that expected for the period of amenorrhea in 70%, corresponds with the period of amenorrhea in 20% and smaller than the period of amenorrhea in 10%.”
Dutta Obs. 7/e, p 193
Option ‘b’: Raised hCG - H. mole is characterised by raised levels of hCG (levels > 105 MIU/ml)
Dutta Obs. 7/e, p 193
Option ‘c’: Hysterectomy in selected cases :
Management of H.mole :

TOC in H. mole – Suction evacuation followed by gentle but thorough currettage.
Hysterectomy – It is indicated only in case of :

                                  – Female has completed her family

Hysterotomy – Indicated in cases complicated by haemorrhage.

So, option ‘c’ i.e. hysterectomy is done in selected cases is correct whereas option ‘d’ i.e. chemotherapy is the TOC is incorrect.
Option ‘e’:
As far as thyrotoxicosis is concerned :
It is seen in only 2% cases of H.mole. It is rare (so, option ‘e’ is correct).
“Clinically apparent thyrotoxicosis is unusual.”
William 23/e, p 260
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