Gynaecological imaging: polycystic ovaries: practice question

A Radiology 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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Radiology · Gynaecological imaging: polycystic ovaries

Sample item

A woman with oligomenorrhoea and hirsutism has a transvaginal ultrasound. Which finding is a recognised criterion for polycystic ovarian morphology?

AAn ovary with 20 or more follicles of 2 to 9 mm or a volume over 10 mlBA bilateral ovarian mass with ascitesCA single 6 cm complex cyst with solid nodulesDOvarian atrophy with no follicles

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

The answer and the reasoning

A. An ovary with 20 or more follicles of 2 to 9 mm or a volume over 10 ml

In the Rotterdam-based approach, polycystic ovarian morphology is defined by a high antral follicle count or increased ovarian volume, with follicles arranged peripherally like a string of pearls. Imaging is one of three Rotterdam criteria with hyperandrogenism and anovulation. The original Rotterdam threshold was 12 or more follicles, and current international guidance uses 20 or more per ovary with modern high-frequency probes.

Option by option

A. An ovary with 20 or more follicles of 2 to 9 mm or a volume over 10 ml (correct)
Correct. A follicle count of 20 or more or a volume over 10 ml fits PCOM.
B. A bilateral ovarian mass with ascites
A bilateral mass with ascites suggests malignancy.
C. A single 6 cm complex cyst with solid nodules
A complex cyst with nodules suggests a neoplasm.
D. Ovarian atrophy with no follicles
Atrophic ovaries with no follicles suggest postmenopausal state or ovarian failure.

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 Radiology question

What is the answer to this Radiology question?

The best answer is A, An ovary with 20 or more follicles of 2 to 9 mm or a volume over 10 ml. In the Rotterdam-based approach, polycystic ovarian morphology is defined by a high antral follicle count or increased ovarian volume, with follicles arranged peripherally like a string of pearls.

Why is "A bilateral ovarian mass with ascites" not the answer?

A bilateral mass with ascites suggests malignancy.

Why is "A single 6 cm complex cyst with solid nodules" not the answer?

A complex cyst with nodules suggests a neoplasm.

Why is "Ovarian atrophy with no follicles" not the answer?

Atrophic ovaries with no follicles suggest postmenopausal state or ovarian failure.

What concept does this question test?

It tests Gynaecological imaging: polycystic ovaries in Radiology. Imaging is one of three Rotterdam criteria with hyperandrogenism and anovulation. The original Rotterdam threshold was 12 or more follicles, and current international guidance uses 20 or more per ovary with modern high-frequency probes.

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 imaging: polycystic ovaries?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology 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.