Gynaecological oncology: lymphocele after pelvic lymphadenectomy: 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: lymphocele after pelvic lymphadenectomy

Sample item

Three weeks after radical hysterectomy with pelvic lymphadenectomy, a woman has a cystic pelvic collection of clear straw-coloured fluid whose creatinine matches serum. What is it?

AHaematomaBUrinomaCLymphoceleDPelvic abscess

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

The answer and the reasoning

C. Lymphocele

A lymphocele forms when divided lymphatics leak into the dissected space. Aspirated fluid is clear and has a creatinine similar to serum, unlike urine, which has a much higher creatinine.

Option by option

A. Haematoma
A haematoma contains blood and is not clear fluid.
B. Urinoma
A urinoma would have fluid creatinine far above serum.
C. Lymphocele (correct)
Correct. Lymph leaking into the dissection bed forms a lymphocele.
D. Pelvic abscess
An abscess would contain pus and cause marked fever.

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 OBG question

What is the answer to this OBG question?

The best answer is C, Lymphocele. A lymphocele forms when divided lymphatics leak into the dissected space.

Why is "Haematoma" not the answer?

A haematoma contains blood and is not clear fluid.

Why is "Urinoma" not the answer?

A urinoma would have fluid creatinine far above serum.

Why is "Pelvic abscess" not the answer?

An abscess would contain pus and cause marked fever.

What concept does this question test?

It tests Gynaecological oncology: lymphocele after pelvic lymphadenectomy in OBG. Aspirated fluid is clear and has a creatinine similar to serum, unlike urine, which has a much higher creatinine.

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: lymphocele after pelvic lymphadenectomy?

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.