Benign gynaecology: uterine perforation at suction evacuation: 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: uterine perforation at suction evacuation

Sample item

During suction evacuation for an incomplete abortion, the suction catheter passes without resistance, and omentum is seen at the cervical os. The patient is stable. What should be done?

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

The answer and the reasoning

B. Stop the procedure and proceed to laparoscopy or laparotomy to assess for bowel injury

Visible omentum or bowel through the cervix indicates perforation with possible visceral injury. Suction is stopped at once and the abdomen is explored by laparoscopy or laparotomy to repair damage. Continuing suction risks bowel being drawn into the catheter.

Option by option

  • A. Give oral analgesia and discharge

    Discharge could miss a bowel injury.

  • B. Stop the procedure and proceed to laparoscopy or laparotomy to assess for bowel injury (correct)

    Correct. Suspected visceral involvement needs surgical exploration.

  • C. Continue suction to finish evacuation

    Continuing suction can draw bowel into the cannula.

  • D. Pack the vagina and observe

    Packing does not manage intra-abdominal injury.

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, Stop the procedure and proceed to laparoscopy or laparotomy to assess for bowel injury. Visible omentum or bowel through the cervix indicates perforation with possible visceral injury.

Why is "Give oral analgesia and discharge" not the answer?

Discharge could miss a bowel injury.

Why is "Continue suction to finish evacuation" not the answer?

Continuing suction can draw bowel into the cannula.

Why is "Pack the vagina and observe" not the answer?

Packing does not manage intra-abdominal injury.

What concept does this question test?

It tests Benign gynaecology: uterine perforation at suction evacuation in OBG. Suction is stopped at once and the abdomen is explored by laparoscopy or laparotomy to repair damage. Continuing suction risks bowel being drawn into the catheter.

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 Benign gynaecology: uterine perforation at suction evacuation?

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.