Benign gynaecology: vault granulation tissue: 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.

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OBG · Benign gynaecology: vault granulation tissue

Sample item

Six weeks after hysterectomy, a woman has persistent blood-stained vaginal discharge. Examination shows red, friable granulation tissue at the vaginal vault. What is the usual treatment?

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

The answer and the reasoning

B. Cautery with silver nitrate

Granulation tissue at the vault is a common cause of postoperative bleeding and discharge. It is treated with silver nitrate cautery, and biopsy is considered if the appearance is unusual. Larger or recurrent lesions need review for other pathology.

Option by option

  • A. Radiotherapy

    Radiotherapy is not indicated.

  • B. Cautery with silver nitrate (correct)

    Correct. Local cautery treats vault granulations.

  • C. High-dose oestrogen for a year

    Prolonged oestrogen does not treat granulations.

  • D. Repeat hysterectomy

    Repeat surgery is unnecessary for a benign granulation.

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 B, Cautery with silver nitrate. Granulation tissue at the vault is a common cause of postoperative bleeding and discharge.

Why is "Radiotherapy" not the answer?

Radiotherapy is not indicated.

Why is "High-dose oestrogen for a year" not the answer?

Prolonged oestrogen does not treat granulations.

Why is "Repeat hysterectomy" not the answer?

Repeat surgery is unnecessary for a benign granulation.

What concept does this question test?

It tests Benign gynaecology: vault granulation tissue in OBG. It is treated with silver nitrate cautery, and biopsy is considered if the appearance is unusual. Larger or recurrent lesions need review for other pathology.

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: vault granulation tissue?

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.