Gynaecological oncology: radical hysterectomy classification: 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 oncology: radical hysterectomy classification

Sample item

In the Querleu-Morrow classification of radical hysterectomy, which class corresponds to the classical Piver class III operation with complete resection of the parametrium to the internal iliac vessels?

AType DBType BCType ADType C

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

The answer and the reasoning

D. Type C

The Querleu-Morrow classification describes radical hysterectomy by lateral extent of parametrial resection. Type A is minimal and type B partial, resection to the ureteric tunnel. Type C resects the parametrium completely at the level of the iliac vessels, with nerve-sparing variants (C1), and type D is laterally extended. Type C is the standard for stage IB1 to IIA disease.

Option by option

A. Type D
Type D is a laterally extended resection for selected cases.
B. Type B
Type B involves partial resection at the ureter tunnel.
C. Type A
Type A is the least radical.
D. Type C (correct)
Correct. Type C is the complete parametrial resection of the Wertheim-Meigs operation.

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.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Type C. The Querleu-Morrow classification describes radical hysterectomy by lateral extent of parametrial resection.

Why is "Type D" not the answer?

Type D is a laterally extended resection for selected cases.

Why is "Type B" not the answer?

Type B involves partial resection at the ureter tunnel.

Why is "Type A" not the answer?

Type A is the least radical.

What concept does this question test?

It tests Gynaecological oncology: radical hysterectomy classification in OBG. Type A is minimal and type B partial, resection to the ureteric tunnel. Type C resects the parametrium completely at the level of the iliac vessels, with nerve-sparing variants (C1), and type D is laterally extended. Type C is the standard for stage IB1 to IIA disease.

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 oncology: radical hysterectomy classification?

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.