Respiratory medicine: Meigs syndrome: practice question

A General Medicine 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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General Medicine · Respiratory medicine: Meigs syndrome

Sample item

A 48-year-old woman has weight loss, abdominal distension and a right-sided pleural effusion. Imaging shows a solid ovarian tumour that is benign on histology. Both the ascites and the effusion resolve completely after the tumour is removed. Which diagnosis fits?

AMeigs syndromeBKrukenberg tumour from a gastric primaryCTuberculous peritonitis with effusionDOvarian hyperstimulation syndrome

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

The answer and the reasoning

A. Meigs syndrome

Meigs syndrome is the triad of a benign ovarian tumour (usually a fibroma), ascites and a pleural effusion that resolve after resection. The fluid reaches the chest through diaphragmatic defects and lymphatics.

Option by option

A. Meigs syndrome (correct)
Correct. A benign ovarian tumour with ascites and effusion that resolves after resection is Meigs syndrome.
B. Krukenberg tumour from a gastric primary
A Krukenberg tumour is a malignant metastasis and the fluid would not clear after removal.
C. Tuberculous peritonitis with effusion
Tuberculous peritonitis would not resolve after removing an ovarian tumour.
D. Ovarian hyperstimulation syndrome
Ovarian hyperstimulation follows gonadotropin treatment, with bilateral enlarged ovaries.

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 General Medicine question

What is the answer to this General Medicine question?

The best answer is A, Meigs syndrome. Meigs syndrome is the triad of a benign ovarian tumour (usually a fibroma), ascites and a pleural effusion that resolve after resection.

Why is "Krukenberg tumour from a gastric primary" not the answer?

A Krukenberg tumour is a malignant metastasis and the fluid would not clear after removal.

Why is "Tuberculous peritonitis with effusion" not the answer?

Tuberculous peritonitis would not resolve after removing an ovarian tumour.

Why is "Ovarian hyperstimulation syndrome" not the answer?

Ovarian hyperstimulation follows gonadotropin treatment, with bilateral enlarged ovaries.

What concept does this question test?

It tests Respiratory medicine: Meigs syndrome in General Medicine. The fluid reaches the chest through diaphragmatic defects and lymphatics.

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 Respiratory medicine: Meigs syndrome?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine 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.