Gynaecological oncology: FIGO staging with hydronephrosis: 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 · Gynaecological oncology: FIGO staging with hydronephrosis

Sample item

A woman has cervical carcinoma limited to the cervix and upper vagina on examination, but imaging shows unilateral hydronephrosis from ureteric obstruction by tumour. What is the FIGO stage?

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

The answer and the reasoning

B. IIIB

In FIGO staging, tumour causing hydronephrosis or a non-functioning kidney is stage IIIB, regardless of other findings. Stage IIB means parametrial spread without pelvic wall extension, and IVA requires bladder or rectal mucosal invasion.

Option by option

  • A. IIB

    IIB describes parametrial involvement short of the pelvic wall.

  • B. IIIB (correct)

    Correct. Hydronephrosis due to tumour upstages the disease to IIIB.

  • C. IIIC1

    IIIC1 is defined by pelvic nodal metastasis.

  • D. IVA

    IVA needs bladder or rectal mucosal invasion.

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, IIIB. In FIGO staging, tumour causing hydronephrosis or a non-functioning kidney is stage IIIB, regardless of other findings.

Why is "IIB" not the answer?

IIB describes parametrial involvement short of the pelvic wall.

Why is "IIIC1" not the answer?

IIIC1 is defined by pelvic nodal metastasis.

Why is "IVA" not the answer?

IVA needs bladder or rectal mucosal invasion.

What concept does this question test?

It tests Gynaecological oncology: FIGO staging with hydronephrosis in OBG. Stage IIB means parametrial spread without pelvic wall extension, and IVA requires bladder or rectal mucosal invasion.

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 Gynaecological oncology: FIGO staging with hydronephrosis?

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.