Gynaecological oncology: obstetric effect of excisional cervical treatment: 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 oncology: obstetric effect of excisional cervical treatment

Sample item

A woman had a large cone excision for CIN 3 and now plans pregnancy. Which complication is increased?

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

The answer and the reasoning

D. Mid-trimester loss or preterm birth

Removing a large amount of cervical tissue can weaken the cervix and reduce its mucus barrier, increasing the risk of mid-trimester loss and preterm birth. Pregnancy surveillance may include cervical length scans.

Option by option

  • A. Placenta praevia

    Praevia is related to uterine scarring and not to cervical excision.

  • B. Post-term pregnancy

    Cervical weakness favours early rather than late delivery.

  • C. Fetal macrosomia

    Macrosomia is related to maternal diabetes and not to cone excision.

  • D. Mid-trimester loss or preterm birth (correct)

    Correct. Cervical tissue loss increases the risk of preterm birth.

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, Mid-trimester loss or preterm birth. Removing a large amount of cervical tissue can weaken the cervix and reduce its mucus barrier, increasing the risk of mid-trimester loss and preterm birth.

Why is "Placenta praevia" not the answer?

Praevia is related to uterine scarring and not to cervical excision.

Why is "Post-term pregnancy" not the answer?

Cervical weakness favours early rather than late delivery.

Why is "Fetal macrosomia" not the answer?

Macrosomia is related to maternal diabetes and not to cone excision.

What concept does this question test?

It tests Gynaecological oncology: obstetric effect of excisional cervical treatment in OBG. Pregnancy surveillance may include cervical length scans.

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: obstetric effect of excisional cervical treatment?

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.