Which symptom combination may accompany pregnancy granuloma if symptomatic?

• A. Fever and rash
• B. Burning sensation, altered taste, and difficulty swallowing
• C. Nausea and vomiting
• D. Headache

Answer: (B)

Pregnancy granuloma is a localized, highly vascular lesion that arises in response to hormonal changes and local irritation in pregnancy. When it causes symptoms, irritation of the mucosa can produce a burning sensation, and inflammatory changes can alter taste. If the lesion is large or positioned near the throat, it may even make swallowing difficult. Fever with rash would point to a systemic issue rather than a localized oral lesion, nausea and vomiting are common pregnancy symptoms not specific to the granuloma, and headache is nonspecific. So the combination of burning sensation, altered taste, and difficulty swallowing best fits a symptomatic pregnancy granuloma.