Gynecology: ovarian malignancy: 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 · Gynecology: ovarian malignancy

Sample item

A postmenopausal patient has an adnexal mass with ascites, early satiety, and unintentional weight loss. What is the primary concern?

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

The answer and the reasoning

B. Ovarian malignancy

A complex adnexal mass with ascites and systemic symptoms after menopause is concerning for ovarian cancer. Prompt gynecologic-oncology assessment and appropriate imaging are needed.

Option by option

  • A. Vaginal prolapse

    Prolapse causes pelvic pressure and bulge, not an adnexal mass.

  • B. Ovarian malignancy (correct)

    Correct. Ascites and constitutional symptoms increase malignancy concern.

  • C. Uncomplicated dysmenorrhea

    Dysmenorrhea does not cause ascites and weight loss.

  • D. Physiologic corpus luteum

    A corpus luteum is a functional lesion in reproductive-age ovulation.

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, Ovarian malignancy. A complex adnexal mass with ascites and systemic symptoms after menopause is concerning for ovarian cancer.

Why is "Vaginal prolapse" not the answer?

Prolapse causes pelvic pressure and bulge, not an adnexal mass.

Why is "Uncomplicated dysmenorrhea" not the answer?

Dysmenorrhea does not cause ascites and weight loss.

Why is "Physiologic corpus luteum" not the answer?

A corpus luteum is a functional lesion in reproductive-age ovulation.

What concept does this question test?

It tests Gynecology: ovarian malignancy in OBG. Prompt gynecologic-oncology assessment and appropriate imaging are needed.

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 Gynecology: ovarian malignancy?

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.