Gynecologic emergencies: tubo-ovarian abscess: 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 emergencies: tubo-ovarian abscess

Sample item

A patient with pelvic inflammatory disease has high fever, severe pelvic pain, leukocytosis, and a complex adnexal mass on ultrasound. What complication is most likely?

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

The answer and the reasoning

D. Tubo-ovarian abscess

Tubo-ovarian abscess is a serious complication of PID involving an inflammatory adnexal mass and systemic infection. It requires urgent antimicrobial treatment and possible drainage or surgery.

Option by option

  • A. Endometrial polyp

    An endometrial polyp is intrauterine and usually causes abnormal bleeding.

  • B. Simple ovarian cyst

    A simple cyst does not usually cause severe sepsis.

  • C. Stress urinary incontinence

    Stress incontinence does not cause fever or pelvic mass.

  • D. Tubo-ovarian abscess (correct)

    Correct. PID with systemic illness and complex adnexal mass suggests abscess.

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 D, Tubo-ovarian abscess. Tubo-ovarian abscess is a serious complication of PID involving an inflammatory adnexal mass and systemic infection.

Why is "Endometrial polyp" not the answer?

An endometrial polyp is intrauterine and usually causes abnormal bleeding.

Why is "Simple ovarian cyst" not the answer?

A simple cyst does not usually cause severe sepsis.

Why is "Stress urinary incontinence" not the answer?

Stress incontinence does not cause fever or pelvic mass.

What concept does this question test?

It tests Gynecologic emergencies: tubo-ovarian abscess in OBG. It requires urgent antimicrobial treatment and possible drainage or 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 Gynecologic emergencies: tubo-ovarian abscess?

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.