Gynaecological imaging: Asherman syndrome: 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.

Try it

Radiology · Gynaecological imaging: Asherman syndrome

Sample item

A woman with secondary amenorrhoea after a curettage for retained products has a normal hormone profile. Hysterosalpingography shows irregular, angulated filling defects in the uterine cavity. What is the diagnosis?

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

The answer and the reasoning

C. Intrauterine adhesions (Asherman syndrome)

Scarring of the endometrium after instrumentation forms synechiae that appear as irregular filling defects of the cavity on HSG or sonohysterography. Hysteroscopic adhesiolysis is the treatment.

Option by option

  • A. Septate uterus

    A septate uterus shows a smooth midline septum and is congenital.

  • B. Tubal hydrosalpinx

    Hydrosalpinx shows a dilated tube and not cavity defects.

  • C. Intrauterine adhesions (Asherman syndrome) (correct)

    Correct. Irregular adhesions after curettage with amenorrhoea define Asherman syndrome.

  • D. Bicornuate uterus

    A bicornuate uterus has two separate horns with an external cleft.

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 Radiology questions

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Intrauterine adhesions (Asherman syndrome). Scarring of the endometrium after instrumentation forms synechiae that appear as irregular filling defects of the cavity on HSG or sonohysterography.

Why is "Septate uterus" not the answer?

A septate uterus shows a smooth midline septum and is congenital.

Why is "Tubal hydrosalpinx" not the answer?

Hydrosalpinx shows a dilated tube and not cavity defects.

Why is "Bicornuate uterus" not the answer?

A bicornuate uterus has two separate horns with an external cleft.

What concept does this question test?

It tests Gynaecological imaging: Asherman syndrome in Radiology. Hysteroscopic adhesiolysis is the treatment.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: Asherman syndrome?

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.