Benign gynaecology: route of hysterectomy: 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.

Try it

OBG · Benign gynaecology: route of hysterectomy

Sample item

A 50-year-old woman needs hysterectomy for a 10-week-size fibroid uterus, with no prolapse or previous pelvic surgery. Which approach is generally preferred when feasible?

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

The answer and the reasoning

C. Vaginal hysterectomy

Vaginal hysterectomy is generally preferred when feasible because of shorter recovery, fewer wound problems and lower cost. Laparoscopic assistance is chosen if vaginal access is limited, and abdominal hysterectomy is reserved for large or complex uteri. Radical surgery is only for cancer.

Option by option

  • A. Subtotal abdominal hysterectomy

    Subtotal surgery leaves the cervix and is not routine.

  • B. Radical hysterectomy

    Radical hysterectomy is for cervical cancer, not a benign uterus.

  • C. Vaginal hysterectomy (correct)

    Correct. Vaginal route is preferred when it is feasible.

  • D. Open abdominal hysterectomy

    An open approach carries more morbidity.

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 C, Vaginal hysterectomy. Vaginal hysterectomy is generally preferred when feasible because of shorter recovery, fewer wound problems and lower cost.

Why is "Subtotal abdominal hysterectomy" not the answer?

Subtotal surgery leaves the cervix and is not routine.

Why is "Radical hysterectomy" not the answer?

Radical hysterectomy is for cervical cancer, not a benign uterus.

Why is "Open abdominal hysterectomy" not the answer?

An open approach carries more morbidity.

What concept does this question test?

It tests Benign gynaecology: route of hysterectomy in OBG. Laparoscopic assistance is chosen if vaginal access is limited, and abdominal hysterectomy is reserved for large or complex uteri. Radical surgery is only for cancer.

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 Benign gynaecology: route of hysterectomy?

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.