Gynaecological infections: genital warts: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynaecological infections: genital warts

Sample item

A 24-year-old woman at 20 weeks of gestation has multiple vulval warts. Which treatment should be avoided?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Podophyllin or podophyllotoxin

Genital warts are caused by HPV types 6 and 11. Podophyllin, podophyllotoxin and imiquimod are avoided in pregnancy because of potential toxicity and lack of safety data, while trichloroacetic acid, cryotherapy and electrosurgery are acceptable. Caesarean section is not indicated solely for warts unless they obstruct the birth canal.

Option by option

  • A. Podophyllin or podophyllotoxin (correct)

    Correct. Podophyllin-based agents are avoided in pregnancy.

  • B. Electrocautery

    Electrocautery is an accepted option.

  • C. Cryotherapy

    Cryotherapy is acceptable.

  • D. Trichloroacetic acid application

    Trichloroacetic acid is safe in pregnancy.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Podophyllin or podophyllotoxin. Genital warts are caused by HPV types 6 and 11.

Why is "Electrocautery" not the answer?

Electrocautery is an accepted option.

Why is "Cryotherapy" not the answer?

Cryotherapy is acceptable.

Why is "Trichloroacetic acid application" not the answer?

Trichloroacetic acid is safe in pregnancy.

What concept does this question test?

It tests Gynaecological infections: genital warts in OBG. Podophyllin, podophyllotoxin and imiquimod are avoided in pregnancy because of potential toxicity and lack of safety data, while trichloroacetic acid, cryotherapy and electrosurgery are acceptable. Caesarean section is not indicated solely for warts unless they obstruct the birth canal.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological infections: genital warts?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.