Benign gynaecology: assessment of stress incontinence: 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: assessment of stress incontinence

Sample item

A multiparous woman reports leakage of urine on coughing. Which bedside test assesses urethral hypermobility?

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

The answer and the reasoning

A. Q-tip (cotton swab) test, with a deflection of more than 30 degrees on straining

In stress urinary incontinence from urethral hypermobility the cotton swab placed in the urethra rotates by more than 30 degrees from horizontal on straining. A cough stress test confirms leakage, and urodynamic studies are done before surgery in complex cases. The Bonney test is an older manoeuvre of elevating the bladder neck.

Option by option

  • A. Q-tip (cotton swab) test, with a deflection of more than 30 degrees on straining (correct)

    Correct. A swab deflection above 30 degrees indicates urethral hypermobility.

  • B. Schiller iodine test

    The Schiller test is used for cervical lesions.

  • C. Whiff test

    The whiff test is for bacterial vaginosis.

  • D. Bonney test only

    The Bonney test is not the standard test of mobility and is less used today.

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, Q-tip (cotton swab) test, with a deflection of more than 30 degrees on straining. In stress urinary incontinence from urethral hypermobility the cotton swab placed in the urethra rotates by more than 30 degrees from horizontal on straining.

Why is "Schiller iodine test" not the answer?

The Schiller test is used for cervical lesions.

Why is "Whiff test" not the answer?

The whiff test is for bacterial vaginosis.

Why is "Bonney test only" not the answer?

The Bonney test is not the standard test of mobility and is less used today.

What concept does this question test?

It tests Benign gynaecology: assessment of stress incontinence in OBG. A cough stress test confirms leakage, and urodynamic studies are done before surgery in complex cases. The Bonney test is an older manoeuvre of elevating the bladder neck.

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: assessment of stress incontinence?

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.