Gynaecological imaging: hydrosalpinx: 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: hydrosalpinx

Sample item

A woman with infertility has a transvaginal ultrasound showing a tubular, anechoic adnexal structure with incomplete septa and folded walls, separate from the ovary. What is the likely finding?

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

The answer and the reasoning

B. Hydrosalpinx

A fluid-filled, dilated fallopian tube after chronic infection appears as a folded tubular structure with incomplete septa, sometimes showing cogwheel or beads-on-a-string signs. It lowers IVF success and may need salpingectomy.

Option by option

  • A. Dermoid cyst

    A dermoid shows echogenic fat and calcification.

  • B. Hydrosalpinx (correct)

    Correct. A tubular fluid-filled adnexal structure with incomplete folds is a hydrosalpinx.

  • C. Simple ovarian cyst

    A simple ovarian cyst is round and arises from the ovary.

  • D. Endometrioma

    An endometrioma shows homogeneous low-level echoes.

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.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is B, Hydrosalpinx. A fluid-filled, dilated fallopian tube after chronic infection appears as a folded tubular structure with incomplete septa, sometimes showing cogwheel or beads-on-a-string signs.

Why is "Dermoid cyst" not the answer?

A dermoid shows echogenic fat and calcification.

Why is "Simple ovarian cyst" not the answer?

A simple ovarian cyst is round and arises from the ovary.

Why is "Endometrioma" not the answer?

An endometrioma shows homogeneous low-level echoes.

What concept does this question test?

It tests Gynaecological imaging: hydrosalpinx in Radiology. It lowers IVF success and may need salpingectomy.

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: hydrosalpinx?

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.