Gynecologic oncology: vulvar cancer: 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 · Gynecologic oncology: vulvar cancer

Sample item

An older patient has persistent vulvar pruritus and a nonhealing vulvar lesion. What is the appropriate next step?

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

The answer and the reasoning

B. Prompt examination and biopsy assessment

Persistent vulvar pruritus or an ulcerated, pigmented, or nonhealing lesion requires examination and often biopsy to exclude vulvar malignancy. Delay can postpone curative treatment.

Option by option

  • A. Start systemic anticoagulation

    Anticoagulation has no role in diagnosis.

  • B. Prompt examination and biopsy assessment (correct)

    Correct. Tissue assessment is required for a persistent suspicious lesion.

  • C. Treat indefinitely as candidiasis

    Empiric antifungal treatment should not delay evaluation of a nonhealing lesion.

  • D. Reassure without inspection

    Reassurance without examination is unsafe.

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, Prompt examination and biopsy assessment. Persistent vulvar pruritus or an ulcerated, pigmented, or nonhealing lesion requires examination and often biopsy to exclude vulvar malignancy.

Why is "Start systemic anticoagulation" not the answer?

Anticoagulation has no role in diagnosis.

Why is "Treat indefinitely as candidiasis" not the answer?

Empiric antifungal treatment should not delay evaluation of a nonhealing lesion.

Why is "Reassure without inspection" not the answer?

Reassurance without examination is unsafe.

What concept does this question test?

It tests Gynecologic oncology: vulvar cancer in OBG. Delay can postpone curative treatment.

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 Gynecologic oncology: vulvar cancer?

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.