Infertility: tubal assessment: 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 · Infertility: tubal assessment

Sample item

Which investigation is the gold standard for assessing tubal patency and pelvic pathology?

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

The answer and the reasoning

A. Laparoscopy with chromopertubation

Laparoscopy with dye test directly visualises the tubes, ovaries, peritoneal disease and spill of dye. HSG is the first-line screening test because it is less invasive. Laparoscopy is reserved for suspected endometriosis or adhesions.

Option by option

  • A. Laparoscopy with chromopertubation (correct)

    Correct. It is the gold standard but invasive.

  • B. Sonosalpingography

    Sonosalpingography is a screening alternative.

  • C. Pelvic ultrasound

    Plain ultrasound does not show tubal patency.

  • D. Hysterosalpingography

    HSG is the usual first-line test, not the gold standard.

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, Laparoscopy with chromopertubation. Laparoscopy with dye test directly visualises the tubes, ovaries, peritoneal disease and spill of dye.

Why is "Sonosalpingography" not the answer?

Sonosalpingography is a screening alternative.

Why is "Pelvic ultrasound" not the answer?

Plain ultrasound does not show tubal patency.

Why is "Hysterosalpingography" not the answer?

HSG is the usual first-line test, not the gold standard.

What concept does this question test?

It tests Infertility: tubal assessment in OBG. HSG is the first-line screening test because it is less invasive. Laparoscopy is reserved for suspected endometriosis or adhesions.

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 Infertility: tubal assessment?

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.