Benign gynaecology: cervical polyp: 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 · Benign gynaecology: cervical polyp

Sample item

A 40-year-old has intermenstrual and postcoital spotting. Speculum examination shows a smooth red 1 cm pedunculated growth protruding through the external os. What is the appropriate management?

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

The answer and the reasoning

C. Remove by twisting or avulsion and send for histology

Cervical polyps are common benign overgrowths of the endocervical epithelium and may cause postcoital or intermenstrual bleeding. They can be removed in the clinic by twisting at the pedicle, and the specimen is sent for histology because rarely malignant change or a more proximal lesion is present. Recurrence is possible, and a hysteroscopy may be needed for persistent bleeding.

Option by option

  • A. Start chemotherapy

    Chemotherapy has no role.

  • B. Observe for 1 year

    Symptomatic polyps should not simply be observed for a year.

  • C. Remove by twisting or avulsion and send for histology (correct)

    Correct. Simple removal with histology is standard.

  • D. Radical hysterectomy

    Radical surgery is not warranted for a benign polyp.

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 C, Remove by twisting or avulsion and send for histology. Cervical polyps are common benign overgrowths of the endocervical epithelium and may cause postcoital or intermenstrual bleeding.

Why is "Start chemotherapy" not the answer?

Chemotherapy has no role.

Why is "Observe for 1 year" not the answer?

Symptomatic polyps should not simply be observed for a year.

Why is "Radical hysterectomy" not the answer?

Radical surgery is not warranted for a benign polyp.

What concept does this question test?

It tests Benign gynaecology: cervical polyp in OBG. They can be removed in the clinic by twisting at the pedicle, and the specimen is sent for histology because rarely malignant change or a more proximal lesion is present. Recurrence is possible, and a hysteroscopy may be needed for persistent bleeding.

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 Benign gynaecology: cervical polyp?

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.