Gynaecological oncology: groin dissection complications: 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: groin dissection complications

Sample item

A woman undergoes radical vulvectomy with bilateral inguinofemoral lymphadenectomy for vulval cancer. Which complication is most common?

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

The answer and the reasoning

B. Wound breakdown and lower limb lymphoedema

Groin node dissection disrupts lymphatic drainage of the leg, causing lymphoedema in up to a third of women and has high rates of wound infection, breakdown and lymphocyst formation. Sentinel node biopsy in selected small unifocal tumours reduces such morbidity. Compression and physiotherapy help lymphoedema.

Option by option

  • A. Hypothyroidism

    Hypothyroidism is not related to groin surgery.

  • B. Wound breakdown and lower limb lymphoedema (correct)

    Correct. Wound complications and leg lymphoedema are the typical sequelae.

  • C. Optic neuritis

    Optic neuritis is unrelated.

  • D. Pulmonary fibrosis

    Pulmonary fibrosis is not a complication of this 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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Wound breakdown and lower limb lymphoedema. Groin node dissection disrupts lymphatic drainage of the leg, causing lymphoedema in up to a third of women and has high rates of wound infection, breakdown and lymphocyst formation.

Why is "Hypothyroidism" not the answer?

Hypothyroidism is not related to groin surgery.

Why is "Optic neuritis" not the answer?

Optic neuritis is unrelated.

Why is "Pulmonary fibrosis" not the answer?

Pulmonary fibrosis is not a complication of this operation.

What concept does this question test?

It tests Gynaecological oncology: groin dissection complications in OBG. Sentinel node biopsy in selected small unifocal tumours reduces such morbidity. Compression and physiotherapy help lymphoedema.

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: groin dissection complications?

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.