Gynaecological oncology: ovarian transposition: 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: ovarian transposition

Sample item

A 28-year-old with cervical cancer is to receive pelvic radiotherapy and wishes to preserve ovarian endocrine function. Which procedure can be done before radiation?

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

The answer and the reasoning

D. Ovarian transposition

Ovarian transposition (oophoropexy) moves the ovaries out of the pelvic radiation field, often to the paracolic gutters, to preserve hormone production. Fertility still needs assisted reproduction if the uterus is irradiated.

Option by option

  • A. Ovarian cystectomy

    Cystectomy removes ovarian tissue and does not protect it.

  • B. Uterine artery embolisation

    Embolisation does not shield the ovaries from radiation.

  • C. Salpingectomy

    Salpingectomy does not protect the ovaries.

  • D. Ovarian transposition (correct)

    Correct. Moving the ovaries out of the field reduces radiation damage.

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, Ovarian transposition. Ovarian transposition (oophoropexy) moves the ovaries out of the pelvic radiation field, often to the paracolic gutters, to preserve hormone production.

Why is "Ovarian cystectomy" not the answer?

Cystectomy removes ovarian tissue and does not protect it.

Why is "Uterine artery embolisation" not the answer?

Embolisation does not shield the ovaries from radiation.

Why is "Salpingectomy" not the answer?

Salpingectomy does not protect the ovaries.

What concept does this question test?

It tests Gynaecological oncology: ovarian transposition in OBG. Fertility still needs assisted reproduction if the uterus is irradiated.

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: ovarian transposition?

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.