Gynecology: ovarian torsion: 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 torsion

Sample item

A patient with known ovarian cyst has sudden unilateral pelvic pain, vomiting, and adnexal tenderness. What is the correct management priority?

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

The answer and the reasoning

A. Urgent gynecologic assessment for possible torsion

Ovarian torsion threatens ovarian viability and is a surgical emergency. Clinical suspicion warrants urgent assessment even if imaging is not definitive.

Option by option

  • A. Urgent gynecologic assessment for possible torsion (correct)

    Correct. Sudden pain and vomiting with an adnexal mass require urgent torsion evaluation.

  • B. Treat with antibiotics for cystitis

    Cystitis does not cause acute adnexal tenderness with a cyst.

  • C. Wait for pain to settle over several days

    Delay can result in irreversible ischemic injury.

  • D. Start hormone replacement therapy

    Hormone replacement does not treat torsion.

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.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Urgent gynecologic assessment for possible torsion. Ovarian torsion threatens ovarian viability and is a surgical emergency.

Why is "Treat with antibiotics for cystitis" not the answer?

Cystitis does not cause acute adnexal tenderness with a cyst.

Why is "Wait for pain to settle over several days" not the answer?

Delay can result in irreversible ischemic injury.

Why is "Start hormone replacement therapy" not the answer?

Hormone replacement does not treat torsion.

What concept does this question test?

It tests Gynecology: ovarian torsion in OBG. Clinical suspicion warrants urgent assessment even if imaging is not definitive.

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 Gynecology: ovarian torsion?

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.