Gynaecological imaging: septate versus bicornuate uterus: 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: septate versus bicornuate uterus

Sample item

MRI of a woman with recurrent miscarriage shows two uterine cavities, and the external fundal contour is convex with no indentation. What is the likely diagnosis and treatment?

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

The answer and the reasoning

C. Septate uterus, treated by hysteroscopic septum resection

A septate uterus has a normal smooth fundal contour with a midline septum, whereas the bicornuate uterus has a fundal cleft of more than 1 cm. Septa have poor blood supply and cause miscarriage, and hysteroscopic resection improves outcomes.

Option by option

  • A. Uterus didelphys with a double vagina and cervix

    A didelphys uterus has two separate cervices and external division.

  • B. Unicornuate uterus needing hysterectomy

    A unicornuate uterus has a single horn.

  • C. Septate uterus, treated by hysteroscopic septum resection (correct)

    Correct. A convex fundus with two cavities is a septate uterus.

  • D. Bicornuate uterus, treated by hysteroscopic septum resection

    A bicornuate uterus has a fundal indentation and is not treated by septum resection.

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 C, Septate uterus, treated by hysteroscopic septum resection. A septate uterus has a normal smooth fundal contour with a midline septum, whereas the bicornuate uterus has a fundal cleft of more than 1 cm.

Why is "Uterus didelphys with a double vagina and cervix" not the answer?

A didelphys uterus has two separate cervices and external division.

Why is "Unicornuate uterus needing hysterectomy" not the answer?

A unicornuate uterus has a single horn.

Why is "Bicornuate uterus, treated by hysteroscopic septum resection" not the answer?

A bicornuate uterus has a fundal indentation and is not treated by septum resection.

What concept does this question test?

It tests Gynaecological imaging: septate versus bicornuate uterus in Radiology. Septa have poor blood supply and cause miscarriage, and hysteroscopic resection improves outcomes.

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: septate versus bicornuate uterus?

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.