Infertility: uterine septum: 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: uterine septum

Sample item

A woman with recurrent second-trimester losses has a septate uterus on 3D ultrasound. What is the treatment?

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

The answer and the reasoning

A. Hysteroscopic septum resection

Septate uterus is the commonest Mullerian anomaly and is associated with the highest rate of pregnancy loss. Hysteroscopic resection is a simple, effective treatment. Strassman metroplasty is for the bicornuate uterus, and is rarely done now.

Option by option

  • A. Hysteroscopic septum resection (correct)

    Correct. Hysteroscopic resection improves outcomes.

  • B. Observation only

    Untreated septum has a high risk of loss.

  • C. Hysterectomy

    Hysterectomy is not required.

  • D. Strassman metroplasty

    Strassman metroplasty is for bicornuate uterus.

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, Hysteroscopic septum resection. Septate uterus is the commonest Mullerian anomaly and is associated with the highest rate of pregnancy loss.

Why is "Observation only" not the answer?

Untreated septum has a high risk of loss.

Why is "Hysterectomy" not the answer?

Hysterectomy is not required.

Why is "Strassman metroplasty" not the answer?

Strassman metroplasty is for bicornuate uterus.

What concept does this question test?

It tests Infertility: uterine septum in OBG. Hysteroscopic resection is a simple, effective treatment. Strassman metroplasty is for the bicornuate uterus, and is rarely done now.

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: uterine septum?

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.