Gynaecological imaging: MRI before uterine artery embolisation: 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: MRI before uterine artery embolisation

Sample item

A woman with symptomatic fibroids is considering uterine artery embolisation. Which imaging step is most useful before the procedure?

AHysterosalpingographyBIsotope bone scanCPlain pelvic radiographDContrast-enhanced pelvic MRI to map the fibroids, assess enhancement and exclude adenomyosis or a sarcoma

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

The answer and the reasoning

D. Contrast-enhanced pelvic MRI to map the fibroids, assess enhancement and exclude adenomyosis or a sarcoma

MRI defines the number, size and location of fibroids, their vascularity and any adenomyosis, and flags features suspicious for leiomyosarcoma. Non-enhancing fibroids respond poorly to embolisation. It also helps choose between embolisation and surgery.

Option by option

A. Hysterosalpingography
HSG evaluates the cavity and tubes, not fibroid vascularity.
B. Isotope bone scan
A bone scan is irrelevant.
C. Plain pelvic radiograph
A plain film cannot show fibroids reliably.
D. Contrast-enhanced pelvic MRI to map the fibroids, assess enhancement and exclude adenomyosis or a sarcoma (correct)
Correct. Contrast MRI selects suitable patients.

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.

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is D, Contrast-enhanced pelvic MRI to map the fibroids, assess enhancement and exclude adenomyosis or a sarcoma. MRI defines the number, size and location of fibroids, their vascularity and any adenomyosis, and flags features suspicious for leiomyosarcoma.

Why is "Hysterosalpingography" not the answer?

HSG evaluates the cavity and tubes, not fibroid vascularity.

Why is "Isotope bone scan" not the answer?

A bone scan is irrelevant.

Why is "Plain pelvic radiograph" not the answer?

A plain film cannot show fibroids reliably.

What concept does this question test?

It tests Gynaecological imaging: MRI before uterine artery embolisation in Radiology. Non-enhancing fibroids respond poorly to embolisation. It also helps choose between embolisation and surgery.

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: MRI before uterine artery embolisation?

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.