Gynaecological endocrinology: Herlyn-Werner-Wunderlich syndrome: 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.

Try it

OBG · Gynaecological endocrinology: Herlyn-Werner-Wunderlich syndrome

Sample item

A 13-year-old has cyclic pelvic pain, a tender paravaginal mass and regular menses from one side. Imaging shows a double uterus with an obstructed hemivagina. Which associated anomaly should be sought?

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

The answer and the reasoning

A. Ipsilateral renal agenesis

Uterus didelphys with an obstructed hemivagina is typically accompanied by ipsilateral renal agenesis (Herlyn-Werner-Wunderlich syndrome). Menses continue from the patent side while blood collects in the obstructed side, so renal imaging is needed.

Option by option

  • A. Ipsilateral renal agenesis (correct)

    Correct. The obstructed side is classically associated with absent ipsilateral kidney.

  • B. Contralateral horseshoe kidney

    Horseshoe kidney is a fusion anomaly not specific to this Mullerian disorder.

  • C. Spina bifida

    Spina bifida is not associated with this Mullerian anomaly.

  • D. Coarctation of the aorta

    Coarctation of the aorta is associated with Turner syndrome.

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 A, Ipsilateral renal agenesis. Uterus didelphys with an obstructed hemivagina is typically accompanied by ipsilateral renal agenesis (Herlyn-Werner-Wunderlich syndrome).

Why is "Contralateral horseshoe kidney" not the answer?

Horseshoe kidney is a fusion anomaly not specific to this Mullerian disorder.

Why is "Spina bifida" not the answer?

Spina bifida is not associated with this Mullerian anomaly.

Why is "Coarctation of the aorta" not the answer?

Coarctation of the aorta is associated with Turner syndrome.

What concept does this question test?

It tests Gynaecological endocrinology: Herlyn-Werner-Wunderlich syndrome in OBG. Menses continue from the patent side while blood collects in the obstructed side, so renal imaging is needed.

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 Gynaecological endocrinology: Herlyn-Werner-Wunderlich syndrome?

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.